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Hydroxocobalamin is a long-acting, highly bioavailable form of B12, making it a preferred choice for both clinical use and B12 deficiency correction

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of course, ascertainment is difficult if the characteristic clinical dyad of hemolytic anemia and metabolic acidosis is not recognized and urine organic acid studies are not obtained

Recommendations to Pharmacists Pharmacists should use a patient-centered approach and evaluate whether each individual patient would benefit from the addition of a GLP-1 RA as an alternative to thrice-daily prandial insulin injections

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