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These findings reinforce the role of IGF-1 in glucose homeostasis

Patients can review the informed consent for telehealth page to better understand virtual care

Rarely, people might have allergic reactions like hives or swelling

Prescription and administration: Once B12 deficiency is confirmed, GPs prescribe hydroxocobalamin injections according to standardised protocols: Standard loading regimen: 1mg intramuscularly three times weekly for two weeks Neurological involvement: 1mg intramuscularly on alternate days until no further improvement Maintenance therapy: 1mg every three months for life in pernicious anaemia or malabsorption conditions (or every two months if there was neurological involvement) Injections are typically administered by practice nurses at GP surgeries

Our physicians are here to help you make sense of your options in person at one of our 15 Maryland and Virginia clinics, or via telehealth

For detailed strategies, see our [guide to preventing muscle loss on GLP-1 medications](/guides/glp1-muscle-loss-prevention-semaglutide-tirzepatide-guide)