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Example 1: The Initial Visit A 65-year-old man comes in complaining of my socks feel like they are made of sandpaper. He has numbness in both feet in a stocking distribution

All of them were volunteers, trying to do the work of a supplemental emergency service, because more help was needed than the government could provide

Laboratory Testing to Guide B12 Usage Lab tests are key in guiding vitamin B12 use

The rare scenario where faster escalation might make sense is someone who has been on a comparable dose of another incretin therapy and already has established GI tolerance to receptor agonists

Avoiding these is key