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For borderline results, additional testing with holotranscobalamin or methylmalonic acid/homocysteine levels may be appropriate

Peer reviewers Nissrine Nakib, MD Assistant Professor Director of Female Urology and Urodynamics University of Minnesota Minneapolis MN Disclosures NN declares that she has no competing interests

It mimics the incretin hormone GLP-1 to enhance glucose-dependent insulin secretion, suppress glucagon, slow gastric emptying, and reduce appetite through central pathways

the adverse event profile and abuse potential are just too messy

Refrigeration is recommended to maintain the stability of the peptide, but avoid freezing it

Floating particles suggest compromised sterility within medication vials