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Who to refer: Patients: with symptoms suggestive of either a spinal cord lesion (subacute combined degeneration or peripheral neuropathy) or visual (optic neuropathy) same day emergency admission not responding haematologically to B12 replacement therapy (where folate and iron stores have been checked and are normal) with suspected malabsorption or disease of the terminal ileum should be referred to Gastroenterology with neurological symptoms should be discussed with Neurology if advice required
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doi:10.3390/nu10111564 [PubMed] 79
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However, due to its side effects, this treatment has to be performed only by an experienced and trained dermatologist
Retatrutide is expected to be commercially available in 2026 or 2027
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