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Your GP or diabetes specialist should: Evaluate whether symptoms coincide with dose escalation (suggesting a possible connection to treatment) Review all concurrent medications for potential contributors Assess for alternative causes, particularly thyroid function and menopausal status in women Consider whether glycaemic control has changed significantly Review insulin or sulfonylurea doses if hypoglycaemia is suspected For women experiencing menopausal hot flushes, hormone replacement therapy (HRT) is generally considered first-line treatment where appropriate, in line with NICE guidance

Heres what to know before trying them

Im still skeptical this is all placebo

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This data supports our findings that nave mice supplemented with cyanocobalamin consistently showed decreased alpha diversity due to the reduced abundance of Firmicutes species and an increase in Parasutterella species