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Diagnosis of elevated vitamin B12 begins with serum B12 measurement, typically performed as part of routine blood tests or when investigating anaemia, neurological symptoms, or other clinical concerns
if you had anovulatory cycles before, you may now be ovulating regularly (or vice versa) Management: pregnancy test if sexually active and period is late
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Outside consultation cases, cutaneous tumors in which melanoma was a consideration, neoplasms in which other sarcoma diagnoses (eg, leiomyosarcoma and fibromyxoid sarcoma) remained in the differential diagnosis, and nerve sheath tumors with equivocal features of malignancy were excluded
Tirzepatide at all doses outperformed semaglutide in HbA1c reduction, weight loss, and lipid improvements
