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Vitamin B 12 is also available in the form of pills that dissolve under the tongue, and as a nasal spray and nasal gel
In cases where peripheral neuropathy is the presenting feature, evaluation for common causes (eg, impaired glucose metabolism, hypothyroidism) is necessary, keeping in mind that autoimmune disorders can present with combinations of disorders (eg, pernicious anemia, autoimmune thyroid dysfunction, and type 1 diabetes)
This is particularly important given the variable blood pressure effects different users experience
Additionally, it can enhance your mood and reduce symptoms of depression and anxiety
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