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Blood sugar management remains the foundation of diabetic neuropathy treatment

It is certainly evident that high concentrations of Vitamin B12 are an essential component of a healthy and active lifestyle

It blocks NNMT in fat cells, which raises NAD+ and increases their metabolic activity

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It may help restore the muscle architecture and vascular density needed to handle normal exertion though patients with PEM should approach any intervention with careful pacing and clinical oversight

It is meant to support those foundations, not replace them