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Serum 25-hydroxy vitamin d and insulin resistance, metabolic syndrome, and glucose intolerance among Arab Americans

If dietary measures alone are insufficient, fibre supplements such as ispaghula husk may be considered, though these should be taken with plenty of fluid and may initially increase bloating

Possible complications heart failure severe neurological deficits gastric cancer type 1 diabetes rheumatoid arthritis myasthenia gravis (a chronic condition causing muscle weakness) Hashimotos disease (an autoimmune condition affecting the thyroid) A pregnant or nursing person with a B12 deficiency When a person receives treatment for a B12 deficiency, they generally recover well and cease to have symptoms, although they may need to continue to use B12 nutritional supplements

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Taking more than your prescribed dose dramatically amplifies these signals, overwhelming your gastrointestinal and metabolic systems