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This mechanism is absent in tirzepatide entirely

Treatment for B12 deficiency without neurological involvement: For patients with haematological manifestations only (macrocytic anaemia) or asymptomatic deficiency, the regimen is hydroxocobalamin 1mg intramuscularly three times weekly for two weeks (total of six injections), followed by maintenance of 1mg every three months for life

Step 8: Evaluation Evaluation is a planned, ongoing, purposeful activity in which the clients progress towards achieving goals or desired outcomes is assessed, and the effectiveness of the nursing care plan (NCP)