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Vitamin B12 deficiency can cause fatigue, memory and cognitive loss, myalgias(leg and back pain), poor digestion, mood changes, hair loss, weight gain due to poor metabolism

Integrative and functional medicine practices incorporate B-12 therapy into broader nutrient optimization protocols
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We observed an insomnia prevalence of 24.16% in T2DM patients, which was similar to that reported by another large community-based Chinese study (20.2%)

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Combining these with a spinal injection increases the risk of bleeding in the epidural space , which can be serious