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Would you be better served by a different approach

and adds the Emergency Care Access & Timeliness eCQM as discussed in section XV.B.1

Intramuscular (IM) hydroxocobalamin is the recommended first-line treatment for pernicious anaemia in the UK, as advised by NICE and the British Society for Haematology

It is also used as a diagnostic tool for testing for Cushing's syndrome

Human studies using Lactobacillus as a probiotic have often demonstrated decreased body weight and/or body fat in a strain-dependent manner (for a review of human studies, see Crovesy et al., 2017 58 ), suggesting that the NNMTi-and-LD-mediated changes to Lactobacillus relative abundance may be critical to NNMTi-mediated weight loss

doi: 10.1038/s41598-018-22081-7