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This will subsequently form complexes with the cobalmin and thereby reduce its efficacy

BCTQ scores and a set of physiological (i.e., motor and sensory conduction studies, static two-point discrimination, and pressure sensitivity) and clinical (i.e., hand dexterity) outcome measures were assessed at baseline and at 3, 6, and 12 months after the surgery

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That triple action is what separates it from drugs like semaglutide or tirzepatide, which hit one or two of those receptors