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Tirzepatide for MASH with fibrosis 15 mg produced a large majority disease-resolution rate versus a small placebo rate: Loomba NEJM 2024 (SYNERGY-NASH)
If this occurs, try changing the injection location or reducing the frequency
In other situations, lab testing is very important
It is generally not found in plant foods but many foods have added vitamin B12 such as breakfast cereals
Frequency: inject 3 times weekly subcutaneously (e.g., Monday/Wednesday/Friday), for a total weekly dose of 1,500 IU
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