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N., Critchley J

Deficiencies in B12 can directly lead to nerve damage and worsen symptoms of diabetic neuropathy.65 While most people can get adequate B12 through diet (meat, fish, dairy, fortified cereals), certain medications including metformin and proton pump inhibitors can impair absorption and raise the risk of deficiency

A pharmacy-only pathway tends to be cyclical

The FDA-approved titration schedule allows your body to adjust while building up to the therapeutic maintenance dose of 2.4 mg weekly

For best results, avoid irritating products such as exfoliants and peeling agents for at least one week after treatment