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B12 injections address a specific nutritional deficiency, whilst Mounjaro is a pharmacological agent for metabolic disease management

Parainfluenza virus infection damages inhibitory M2 muscarinic receptors on pulmonary parasympathetic nerves in the Guinea-pig

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Monitoring response to treatment involves: Clinical assessment of symptom improvement, including mouth ulcer frequency FBC to confirm resolution of anaemia and reticulocyte response Ongoing monitoring of neurological symptoms if present Routine repeat measurement of serum B12 levels shortly after starting injections is not generally recommended as results may be misleadingly high