The vitamin B12 injection is a prescription-only medicine widely used by clinicians to treat or prevent vitamin B12 deficiency
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However, ultrasound alone is not recommended for routine screening due to lower sensitivity for microcalcifications and higher false-positive rates, which may lead to unnecessary biopsies and follow-up imaging
Tirzepatide cannot be prescribed to anyone with the following and should not be purchased: BMI under 27, eating disorder, gallbladder disease, drug or alcohol abuse, recent bariatric surgery, pancreatitis, medullary thyroid cancer, currently pregnant or breastfeeding, planning to become pregnant, Diabetic retinopathy, Multiple endocrine neoplasia type 2, family history of medullary thyroid carcinoma thyroid carcinoma
NICE guideline NG28 recognises both classes within type 2 diabetes management pathways, typically considered when dual therapy fails to achieve glycaemic targets or additional organ protection is needed
Reconstitution with bacteriostatic water is required before the peptide can be drawn into an insulin syringe