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It is understood that a permanently increased sugar level could damage the nerves, however a B12 deficiency caused by diabetes drugs is also today a proven cause (55)

Effects on Fertility The use of ketorolac tromethamine, as with any drug known to inhibit cyclooxygenase/ prostaglandin synthesis, may impair fertility and is not recommended in women attempting to conceive

You may also want TMG / Betaine TMG (Trimethylglycine or Betaine) may be helpful for some