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[DOI] [PubMed] [Google Scholar] 41.Nyholm E., Turpin P., Swain D., Cunningham B., Daly S., Nightingale P., Fegan C

This makes it potentially suitable for individuals with insulin resistance, pre-diabetes, or type 2 diabetes, populations who would not be good candidates for growth hormone therapy due to its glucose-elevating effects

These medications can be expensive

If the B12 deficiency remains untreated for too long, damage cannot be reversed

Erythema and depapillation of the tongue were observed in 9 (81.8 %) patients with a history of gastrectomy and 6 (54.5 %) patients without a history of gastrectomy ( P = 0.361)

Suggested conservative titration: Start at 200250 mcg daily