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Substantial empirical work is still needed to validate these mechanisms, determine causality, and assess their relevance for clinical practice

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Methylcobalamin is most commonly prescribed to treat vitamin B12 deficiency but has been found to help alleviate neuropathies caused by diabetes as well as other nerve related ailments

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Healthcare professionals should regularly review patients during the first few months of treatment to assess tolerance and provide ongoing support, in line with NICE recommendations (NG28) for diabetes management