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Regular monitoring is therefore essential for at-risk populations, even when dietary intake appears adequate

Providing correct information is vital

Our dedicated guide to microdosing tirzepatide chart and microdose tirzepatide schedule provide the specific dose structures used in these protocols

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Where deficiency is confirmed, treatment may include oral supplementation (for dietary insufficiency or mild malabsorption) or intramuscular hydroxocobalamin injections (for pernicious anaemia or severe malabsorption), as per NICE and British Society for Haematology guidelines

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