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As previously characterized (2), heart failure (HF) is also underrecognized among T2DM patients and increases mortality (3)

Consistent follow-up with a prescriber is important during this period

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Jitteriness, anxiety, or heart palpitations are not normal and suggest either excessive caffeine intake combined with the B12 surge, histamine sensitivity producing an adrenaline-like response, or an underlying thyroid or adrenal condition amplified by the metabolic boost

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