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Assess and document the patients sensory and motor function, including paresthesias, burning sensations, and numbness in the lower extremities, to establish a baseline and monitor the progression of peripheral neuropathy

If any step breaks down (low stomach acid, lack of intrinsic factor, or gut inflammation), much of the B12 passes through unabsorbed

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[DOI] [PMC free article] [PubMed] [Google Scholar] 206.Ahmed-Belkacem, R., Debart, F

Mitochondrial quality control in diabetic cardiomyopathy: from molecular mechanisms to therapeutic strategies