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This approach is particularly useful for refractory dermatophyte infections or mixed fungal-inflammatory presentations where a single commercial antifungal has proven insufficient

Remove any personal information from the vial or pen before disposal

Maintain a healthy lifestyle: Engaging in regular exercise, reducing stress, and avoiding smoking and excessive alcohol consumption can all help support optimal B12 levels and enhance the effectiveness of B12 injections

Metformin, the first-line oral glucose-lowering agent recommended by NICE for type 2 diabetes (NG28), is well established as a cause of B12 malabsorption