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Important safety considerations include risk of pancreatitis (stop treatment and seek urgent care if severe persistent abdominal pain radiating to the back occurs), gallbladder disease , diabetic retinopathy complications (especially with rapid improvement in blood glucose control), and risk of acute kidney injury with dehydration

3.Should we be checking other biomarkers like methylmalonic acid (MMA) or homocysteine to ensure my cells are actually getting enough B12