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Prevention There are no well-recognized clinical guidelines that provide recommendations on the frequency or dose of vitamin B12 supplementation for patients with T2DM who take metformin

The prevention of cardiomyopathy was confirmed by electron microscopy

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PMID 31428651 Bhave S, et al

In fact, thiamine levels may be reduced by 7576% in people with type 1 and type 2 diabetes ( People with alcoholism are also at an increased risk for deficiency because of a poor diet and impaired thiamine absorption ( Serious deficiency may lead to disorders known as beriberi and Wernicke-Korsakoff syndrome