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Physical symptoms extend beyond neurological manifestations to include macrocytic anemia , where Red Blood cells become enlarged and inefficient at oxygen transport

Blood Sugar Changes: For patients with type 2 diabetes, measurable reductions in fasting blood glucose typically occur within the first 1 to 2 weeks of treatment

Existing systematic reviews and meta-analysis (usually on specific exposures and outcomes), individual participant meta-analysis, and mendelian randomization studies were eligible

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