86 Overall, the evidence is overwhelmingly in favour of the use of methyl-B12, alone or alongside other treatments, in diabetic neuropathy, with oral and injectable B12 showing benefits
Since GLP-1 medications like tirzepatide also slow stomach emptying as part of their mechanism, combining these substances may intensify nausea, constipation, or other gastrointestinal side effects
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This article aims to help primary care clinicians, who may not routinely have access to dermoscopy and biopsy, to identify possible NMSC lesions, which require further specialist assessment or monitoring