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Safety standards include: Verified sterile preparation areas CE-marked syringes and pharmaceutical-grade vials Clinical record keeping and follow-up scheduling Adherence to Save Face and GHP accreditations No IV drips or unregulated compounds are used only licensed B12 formulations appropriate for intramuscular use

Tirzepatide for T2D obesity SURMOUNT-2, weight -12.8/-14.7% at 10/15 mg, attenuated about 6-7 points vs non-diabetic obesity: Garvey Lancet 2023

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Guidelines for the diagnosis and treatment of cobalamin and folate disorders British Society for Haematology