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One recent review concluded that there was no evidence of any benefits of oral supplementation of B12 in diabetic neuropathy (60)
Individuals with liver disease, elevated liver enzymes, or other hepatic concerns should discuss all supplements, medications, and peptides with their healthcare provider

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Therapeutic role of Vitamin B12 in patients of chronic tinnitus: A pilot study

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Emergency Protocols : Established procedures for managing serious adverse reactions, including immediate access to medical care