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Additionally, novel diagnostic tools, such as corneal confocal microscopy and biomarker-based tests, have improved early detection and intervention

It is not medical or legal advice

As a general rule, IM is favored when the goal is rapid correction of a clinical deficiency, when the patient has difficulty absorbing B12 through oral or sublingual routes, or when a provider wants predictable peak serum levels

If your hemoglobin A1C begins rising after switching, discuss with your provider whether adjusting other diabetes medications or returning to tirzepatide makes sense
