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They aren't mutually exclusive in the world of research, but they answer very different questions

Poorly controlled blood glucose increases the risk of cardiovascular disease, nephropathy, retinopathy, and neuropathy

Options for vitamin B12 treatment include: Depending on the cause of the deficiency, you may only need treatment until your vitamin B12 levels are back to normal, or you may need B12 therapy for the rest of your life

[2] How to Manage Discomfort After B12 Treatment Effective management of post-injection discomfort involves both practical self-care measures and appropriate medical follow-up

All of these showed efficacy in animal models