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Proper counseling in advance of the first dose can help patients keep on medication through these initial bumps, Pitts wrote

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Your healthcare provider needs a complete picture of your medication and supplement regimen to provide personalised advice based on your individual health status, diabetes control, kidney function, and treatment goals

This suggests that extra amounts of B12 can be harmful

In diabetes care, endocrinologists bring deep knowledge of insulin dynamics, complication management, and complex pharmacotherapy