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Therefore, this study aimed to compare two intranasal vitamin B12 dosage regimens (with and without loading dose) in elderly patients deficient in vitamin B12, focusing on vitamin B12 levels and three biomarkers indicative of deficiency: holotranscobalamin, methylmalonic acid, and total homocysteine

symptoms include right upper abdominal pain, particularly after eating Hypoglycaemia : More likely if taking Wegovy alongside insulin or sulphonylureas for diabetes [1] [17] Acute kidney injury : Usually related to severe dehydration from vomiting or diarrhoea Diabetic retinopathy complications : Patients with pre-existing diabetic eye disease should be monitored The UK MHRA/EMC SmPC includes a precaution regarding thyroid C-cell tumours observed in animal studies

It should be injected on the same day each week, regardless of meals, with a minimum 48-hour interval between doses