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"The ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: their relevance to the cardiologist, internist and family physician." J Invasive Cardiol 21 (2009): 234-237

In addition, there were no safety or tolerability issues identified regarding the use of cagrilintide in participants with renal or hepatic impairment

This can be done through oral supplements, B12 injections, or even intravenous therapy for more severe cases