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He had absent proprioception and vibration distally in his legs, and hypersensitivity to pinprick in a stocking-distribution up the bilateral shins

Keep that symptom journal we talked about

Adults should take 5.000g I/M or hydroxocobalamin intravenously once a day

Arendt JF, Nexo E

these factors make GLP-1 RAs an alternative initial treatment option, with or without metformin based on glycemic needs, in T2DM patients with indicators of high-risk or established heart failure (HF) or CKD who cannot tolerate an SGLT2 inhibitor

Given the molecular weights of each, 52 g of hyroxocobalamin are needed to bind 1 g of cyanide