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NICE guidance on metformin use recommends measuring B12 levels in patients with symptoms suggestive of deficiency

This is called off-label use

Tirzepatide is a dual-action GLP-1/GIP receptor agonist that targets two hormone pathways involved in appetite regulation, gastric emptying, and blood sugar control

Unpredictable premium increases: Often just one employee with an unexpected costly medical event, will result in higher premiums the next year