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This suggests the reaction may be more closely associated with the cagrilintide component
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Nonaka H, Ohue-Kitano R, Masujima Y, Igarashi M, Kimura I
12 DrgemllerB
For confirmed deficiency or pernicious anaemia, NICE Clinical Knowledge Summaries recommend hydroxocobalamin 1mg intramuscularly, with frequency determined by the underlying cause and neurological involvement
Deficiency is common in vegans, older adults, individuals with gastrointestinal conditions, or those with pernicious anaemia
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