In the UK, standard maintenance therapy for pernicious anaemia is typically hydroxocobalamin 1mg by intramuscular injection every three months (or every two months if neurological symptoms are present), as per BNF and NICE guidance
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This creates a genuine paradox
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According to the articles summarized previously, the NTS and its projections to the LDTg, VTA, and NAc participate in the interactions between the GLP-1 pathway and alcohol/addictive drugs