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These symptoms are primarily caused by damaged or impaired nerves due to long-term elevated blood sugar levels

[60] Differential diagnosis [edit] Forms of vitamin B 12 deficiency other than PA must be considered in the differential diagnosis of megaloblastic anemia

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The APC sent a formal letter to FDA Director Gail Bormel in October 2023, requesting transparency into the process used to make these decisions

For individuals experiencing chronic fatigue or low energy, evaluating B12 deficiency can be a crucial step