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Challenging cases require at least two years of B12 therapy

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The absolute difference in liver fat content [LFC] was 4.7% (95% CI from 6.7 to 2.7), with a relative decrease in LFC from baseline of 35.9% and 28.4% for the two individual dosages ( p 40%, renal death, new onset of macroalbuminuria) strongly favored tirzepatide (HR 0.58, 95% CI from 0.43 to 0.80, p = 0.0008)

J Am Coll Surg 241(2):107-116, 2025