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UK guidance (MHRA and NICE) advises checking B12 levels in patients on metformin who develop symptoms of deficiency (anaemia, neuropathy) and considering periodic monitoring in those on long-term therapy

However, Zepbound pens only need refrigeration before initial use and can be held at room temperature for up to 21 days

Bebenek, M., et al

Its job is to review the scientific evidence and make recommendations to the FDA

Take the persons temperature