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The mechanism relevant to eating behaviour involves both peripheral and central pathways

Serious but rare risks include pancreatitis

Research indicates that glycaemic control can deteriorate relatively quickly after cessation, particularly if no alternative diabetes medication is introduced

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)

The truth is, neither medicine is better for everyone

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