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Rapid correction of acidosis with sodium bicarbonate in patients with diabetic ketoacidosis may cause hypokalemia, paradoxical acidosis in cerebrospinal fluid (CSF) since carbon dioxide diffuses more rapidly into CSF than does bicarbonate, and lactic acidosis since increased pH increases hemoglobin-oxygen affinity which, when combined with erythrocyte 2,3-diphosphoglycerate (2,3-DPG) deficiency in these patients, results in peripheral tissue hypoxia

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B-complex vitamins support neurological, metabolic, and gastrointestinal function through multiple interconnected pathways

GLP-1 intolerance or non-candidacy: Patient has tried GLP-1 therapy and could not tolerate it, or is not a clinical candidate

According to the National Institutes of Health, Vitamin B12 or cobalamin is a water-soluble vitamin that plays an important role in red blood cell formation, cell metabolism, nerve function and the production of DNA

Examples : Tablets, capsules, syrups