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A lack of vitamin B12 can lead to nerve damage, causing numbness, tingling, and even balance issues
When used concurrently with insulin or insulin secretagogues such as sulfonylureas or meglitinides, the risk of hypoglycemia may be increased, particularly during the initiation of therapy or following dose escalations
This uncertainty is one of the challenges with using compounds that lack regulatory approval
Many patients notice a temporary rush, warming sensation, or flushing feeling shortly after the injection
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