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591 In elderly patients, managing DPN alongside other chronic conditions becomes more complex due to polypharmacy, potential drug interactions, and physical and cognitive limitations

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Individuals taking drugs that inhibit gastric acid secretion should consider taking vitamin B 12 in the form of a supplement because gastric acid is not required for its absorption

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Studies on the former have shown that it can produce a stable and sustained influence on learning and memory,43 while the latter may be able to support the differentiation, maturation, and survival of neurons in the brain.44 Another potential cognitive enhancement peptide is Pinealon , which can improve learning and memory by modulating gene expression and neurotransmitter activity