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It seems well-tolerated in available studies with low toxicity

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GLP-1 exerts neuroprotective effects via several mechanisms of action

Eur J Gen Pract (2006) 12(4):16973.10.1080/14017430601049449 24 Sanz-CuestaTGonzalez-EscobarPRiesgo-FuertesRGarrido-ElustondoSdel Cura-GonzalezIMartin-FernandezJet alOral versus intramuscular administration of vitamin B12 for the treatment of patients with vitamin B12 deficiency: a pragmatic, randomised, multicentre, non-inferiority clinical trial undertaken in the primary healthcare setting (project OB12)

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Start conservative with a 50-100mg twice-weekly protocol, properly mixed at 50mg/mL concentration for easy measurement