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These were purely designed to save money and had nothing to do with patient care, this situation needs an urgent overhaul

While this effect appears to be related to the magnitude and rapidity of glucose lowering rather than a direct effect of the medication itself, patients with a history of diabetic retinopathy should undergo careful ophthalmologic evaluation before and during treatment, and the potential risks should be weighed against the expected benefits of improved glycemic control

That's where treatments like injectable B12 for humans come into play

The clear cause of fibromyalgia is not confirmed or proven

For intravenous vitamin B12, the usual dose is between 500 mcg and 1 mg