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Hi topazrat I've been on cyanocobamalin B12 for 45 years and when I was tried on hydroxocobamalin in the 1980s (when it was first introduced) I had similar symptoms to yours and asked to be returned to the cyano

Abbreviations ADA: American Diabetes Association ADVANCE: Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation AHA: American Heart Association ASCVD: Atherosclerotic Cardiovascular Disease A1C/HbA1c: Hemoglobin A1c (Glycated Hemoglobin) ARB: Angiotensin II Receptor Blocker ACE-I: Angiotensin-Converting Enzyme Inhibitor BNP: B-type Natriuretic Peptide CBC: Complete Blood Count CKD: Chronic Kidney Disease CVD: Cardiovascular Disease DKA: Diabetic Ketoacidosis DKD: Diabetic Kidney Disease DM: Diabetes Mellitus DPP-4: Dipeptidyl Peptidase-4 eGFR: Estimated Glomerular Filtration Rate ESC: European Society of Cardiology ESRD: End-Stage Renal Disease FPG: Fasting Plasma Glucose GB: Gallbladder GLP-1 RAs: Glucagon-Like Peptide-1 Receptor Agonists GIT: Gastrointestinal Tract HCP: Healthcare Provider HF: Heart Failure HFmrEF: Heart Failure with Mildly Reduced Ejection Fraction HFpEF: Heart Failure with Preserved Ejection Fraction HFrEF: Heart Failure with Reduced Ejection Fraction IDF: International Diabetes Federation IU: International Unit LDL-C: Low-Density Lipoprotein Cholesterol MAFLD: Metabolic Dysfunction-Associated Fatty Liver Disease NAFLD: Non-Alcoholic Fatty Liver Disease NPH: Neutral Protamine Hagedorn OHA: Oral Hypoglycemic Agent PCSK9: Proprotein Convertase Subtilisin/Kexin Type 9 PPG: Postprandial Glucose RAAS: Renin-Angiotensin-Aldosterone System SCORE2: Systematic Coronary Risk Estimation 2 SMPG: Self-Monitored Plasma Glucose SGLT2: Sodium-Glucose Cotransporter-2 SU: Sulfonylurea T1DM: Type 1 Diabetes Mellitus T2DM: Type 2 Diabetes Mellitus TDD: Total Daily Dose TOD: Target-Organ Damage TZDs: Thiazolidinediones UACR: Urinary Albumin-to-Creatinine Ratio References Kharroubi AT, Darwish HM

Efficacy of Different Routes of Vitamin B12 Supplementation for the Treatment of Patients with Vitamin B12 Deficiency: A Systematic Review and Network Meta-Analysis. Irish Journal of Medical Science, 17 Jan

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