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If you fall into one or more of these categories and are struggling with persistent fatigue, it's absolutely worth discussing B12 testing with a healthcare provider

G., Aman, Y., Figueroa, D., Morevati, M., Lee, H

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While this effect appears to be related to the magnitude and rapidity of glucose lowering rather than a direct effect of the medication itself, patients with a history of diabetic retinopathy should undergo careful ophthalmologic evaluation before and during treatment, and the potential risks should be weighed against the expected benefits of improved glycemic control