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Lyme disease had been recently added to this list [11]

( Unfortunately, this symptom of B12 deficiency overlaps with symptoms related to diabetic neuropathy nerve damage caused by high blood sugar that can cause pain and numbness in the extremities ( People with diabetes taking metformin are at a higher risk of developing B12 deficiency because this medication can reduce vitamin B12 absorption in the body ( So, a B12 deficiency could be misdiagnosed as peripheral neuropathy in people with diabetes

Its been about a year. The blockbuster diabetes drug, which can be used off-label for weight loss, has been in shortage worldwide for almost two years, prompting the use of compounding pharmacies that make up product from the raw material, semaglutide sodium

Most dietary B12 comes from animal products, like meat, dairy products, and eggs

Psychiatry 86 , 255264 (2019)