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Tirzepatide should not be used in people with type 1 diabetes

Methylcobalamin is available as an unlicensed supplement but is not a routinely recommended medicinal product in the UK and should not be substituted for licensed preparations without clinical advice

The main driver of the gap is the data collection periods for the individual measures which is outside the purview of the Overall Hospital Quality Star Rating methodology, and often necessary as longer periods are needed for smaller volume hospitals

As such, we tend to see a lot of patients with restrictive diets and digestive problems reporting hair loss symptoms

For a practical injection checklist and tips see this injection guide: Vitamin B12 injection guide