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Conclusions This study suggests that elevated serum VitB12 level is independently associated with the incidence of insomnia and predicts increased insomnia risk in Chinese patients with T2DM

Standard prenatal vitamins containing 2.5-10 micrograms may be insufficient for those with dietary deficiency, so dedicated B12 supplementation is recommended

Monitor TSH and free T4 every 612 months with your healthcare provider, who may recommend a dose adjustment based on lab results and symptoms like fatigue or cold sensitivity

After counterstaining, images were obtained under the optical microscope (Nikon, DS-U3)

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Adherence represents an additional challenge, as most GLP-1based therapies require injectable administration