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Clinicians should consider vitamin B12 deficiency or early SCD in elderly patients presenting with unexplained unsteadiness and perform thorough neurological assessments to enable timely treatment and prevent irreversible nerve damage

This is especially important for patients who have any GI-related problems: reflux/heartburn, SIBO/SIFO, chronic constipation, leaky gut, patients who are on acid blockers, etc

Dietary modifications, including smaller meals, avoiding high-fat foods, and emphasizing protein intake, make a meaningful difference

If dosing accuracy is your top priority and you do not mind slightly larger injection volumes, the 4mL option eliminates guesswork entirely

Diabetes 69 , 25412548 (2020)

Contact the prescribing pharmacy directly for current pricing