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Heat the oil and butter in a frying pan over medium-high heat until butter is foamy. Add the zucchini noodles. Use tongs to toss occasionally, for 1-2 minutes or until slightly wilted. Use tongs to transfer to a plate.
Add the garlic to the pan. Cook, stirring, for 1 minute or until aromatic. Add the cream cheese, cream and 60ml (¼ cup) water. Reduce heat to low. Cook, stirring often, for 3 minutes or until mixture is smooth. Stir through the parmesan and season. Add the zucchini and use tongs to toss to combine. Serve with extra parmesan.