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Additionally, accumulation of cyanocobalamin metabolites may occur in severe renal impairment, though this is rarely clinically significant

Monitor for signs/symptoms: It is important to monitor for any signs/symptoms associated with Dumping Syndrome such as nausea/vomiting, abdominal cramping/pain, lightheadedness/dizziness etc., so if these should occur seek medical advice immediately

For now, the tablet is available privately rather than on the NHS

The trial enrolled 349 Chinese adults with early-stage T2D (duration less than 10 years) and obesity who had inadequate glycemic and weight control after lifestyle intervention with or without metformin monotherapy (mean age: 42.4 years, mean baseline HbA1c: 8.02%, mean baseline body weight: 90.47 kg, mean baseline BMI: 32.98 kg/m2)

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