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His approach emphasizes evidence-based care, patient safety, and realistic, sustainable results

A symptom of B12 deficiency can be neurological problems because the nervous system uses carbohydrates as a main fuel source

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Serious but less common risks include pancreatitis, gallbladder problems, dehydration from severe vomiting or diarrhea, worsening diabetic retinopathy in some patients with existing eye disease, and allergic reactions

Maintaining consistent sleep and wake times, getting morning light exposure, and injecting in the morning all help support stable circadian function during treatment

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