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After 4 weeks the dose escalates to 5 mg, the first true maintenance dose

FPG levels decreased in both the sitagliptin and saxagliptin arms (by 16.2 mg/dL and 10.8 mg/dL, respectively)

Methylcobalamin stays in tissues longer and reaches the nervous system more effectively

Quality, purity, and potency vary widely among supplement manufacturers, and absorption challenges limit its bioavailabilityfactors that complicate consistent dosing and outcomes