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KPVs gut work runs through the oral PepT1 route. The gut is a separate route and problem

Zhong Q, Itokawa T, Sridhar S et al (2007) Effects of glucose-dependent insulinotropic peptide on osteoclast function

New delivery methods are also emerging

Key Features 1mg (1000 micrograms) hydroxocobalamin per 1ml vial Pack contains 5 sterile 1ml vials Injectable Vitamin B12 treatment Used for the treatment and prevention of vitamin B12 deficiency Supports red blood cell production and normal nervous system function Prescription Only Medicine (POM) For administration by healthcare professionals Important Information This medicine should only be used as prescribed by a healthcare professional

Additional E11 codes may be appropriate depending on the patient clinical picture: E11.21 - Type 2 diabetes mellitus with diabetic nephropathy E11.36 - Type 2 diabetes mellitus with diabetic cataract E11.40 - Type 2 diabetes mellitus with diabetic neuropathy, unspecified E11.51 - Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene Listing all applicable diabetes complication codes strengthens the medical necessity case and helps justify tirzepatide over less expensive alternatives

All vitamins are BPOM-registered and administered according to recommended daily doses