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Patients had a mean duration of diabetes of 9.2 years

Acta 1840, 847875 (2014)

Look for reactions such as a skin rash, swelling, a blue tint to your skin, or chest tightness

In an open-label case series, pyridostigmine was beneficial in relief of symptoms in children with such upper gastrointestinal motility problems as chronic intestinal pseudo-obstruction, delayed small bowel transit accompanying gastroparesis, and chronic constipation associated with failure to thrive

Those who have a diet containing a very high amount of calcium, like dairy products and fortified plant-based milks can also suffer with a B12 deficiency because calcium competes with B12 and interferes with its absorption