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Bloodwork markersfasting insulin, HbA1c, lipid panelsshould be monitored at baseline, 8 weeks, and post-washout to quantify durability of metabolic changes
Absorption Disorders and Gastrointestinal Conditions Many stomach and digestive problems can cause a lack of vitamin B12
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Cautious use of parenteral cyanocobalamin is also recommended in patients with renal impairment, including premature neonates, because of the possibility of greater aluminum accumulation, which may cause central nervous system and bone toxicity
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