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Blood Sugar Fluctuations Possible for those who are on other hypoglycemic agents or have impaired glucose tolerance

In practice for clinicians, it is important to note that certain complications of vitamin B12 deficiency, in particular psycho-neurological and hematological complications are potentially serious, as seen in Table 1, and therefore require investigation in all patients who present with vitamin or nutritional deficiency

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Dosing Strategy and Formulation Choices to Minimize Headache Occurrence Slower titration schedulesstarting at 2.5 mg weekly for 4 weeks before escalationreduce headache incidence compared to standard 5 mg initiation

Acetyl-L-carnitine (levacecarnine) in the treatment of diabetic neuropathy

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