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NICE guidelines recommend hydroxocobalamin 1 mg intramuscularly three times weekly for 2 weeks (without neurological involvement) or on alternate days until no further improvement (with neurological symptoms)

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Compounded GLP-1 medications may be prescribed by a range of independent licensed healthcare professionals, including nurse practitioners, general practitioners, endocrinologists, family medicine physicians, and diabetes management specialists, among others

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Avoid contact during pregnancy and lactation