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The dosing regimen varies depending on whether neurological symptoms are present: With neurological involvement: 1 mg intramuscularly on alternate days until no further improvement, then 1 mg every 2 months [3] [4] Without neurological involvement: 1 mg intramuscularly three times a week for 2 weeks, then 1 mg every 2-3 months for maintenance [3] [4] There is some evidence that high-dose oral B12 (1000-2000 micrograms daily) may be effective even in some malabsorption conditions, though UK practice still generally favours intramuscular treatment in these cases

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doi: 10.2174/157340313805076322 150 Report TP

PACKAGE LABEL MOUNJARO KwikPen 15 mg per dose (60 mg/2.4 mL [25 mg/mL]) NDC 0002-3411-11 Rx Only Mounjaro KwikPen (tirzepatide) injection 15 mg per dose 60 mg/2.4 mL (25 mg/mL) 1 Pen with 4 doses of 15 mg TURN THE DOSE KNOB ALL THE WAY UNTIL YOU SEE A

Complications in pregnancy (neural tube defects, recurrent miscarriages, preeclampsia, intrauterine growth retardation)

I have observed here that many 'stop fencing' with their GP and it seems to be the best course of action