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Thiamin-related neuropathy is especially important to consider in patients with a history of: Alcohol use Bariatric surgery Chronic vomiting Chronic diarrhea Eating disorders Severe dietary restriction High carbohydrate intake with poor nutrient density Long-term diuretic use Malabsorption Celiac disease or gluten-related gut damage Unexplained neuropathy with fatigue or weakness When thiamin deficiency is suspected, testing may include whole blood thiamin, thiamin diphosphate, erythrocyte transketolase activity where available, and blood lactate when severe deficiency is suspected

relatively few controlled human clinical trials have evaluated either compound

Alternate using the cold pack and leaving your skin exposed to relieve the pain

It is supplied as two separate 5mg vials, not pre-mixed

Ensuring sterile preparation for experimental use

Kaleigh Thrash, junior, Deans List, College of Education and Human Sciences, special education (7-12)