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Interestingly, we found that using GLP-1Ra medications induced significant survival benefits in both well-differentiated (NET) and poorly differentiated (NEC) subtypes of NEN in all three primary sites examined (gastrointestinal tract, pancreas, and lung)

If you experience any suspected side effects from GLP-1 medications, even after stopping treatment, report these through the MHRA Yellow Card Scheme, which helps monitor the safety of medicines in the UK

Diabetes 2 , 217220 (2011)

My rule of thumb is if the latest and most current B12 result is above the defined acceptable range then it is advisable to recommend a reduction in the frequency of the intervention