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Tirzepatide is a dual GLP-1/GIP receptor agonist

However, it's important to note that the study was sponsored by a sublingual GSH company ( 6 )

Andreou A, Aloia TA, Brouquet A, Dickson PV, Zimmitti G, Maru DM, Kopetz S , Loyer EM , Curley SA, Abdalla EK, Vauthey JN

[15] [16] Standard NHS treatment protocols: Without neurological involvement: Hydroxocobalamin 1mg intramuscularly three times weekly for two weeks, then maintenance injections every 2-3 months (lifelong if pernicious anaemia)