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Out M, Top WM, Lehert P, Schalkwijk CA, Stehouwer CD, Kooy A

Apart from the obvious differentiation of satellite cells, which may account for many of the beneficial actions of exercise training, without excluding the classical fat burning, cardiovascular tonification, neuroendocrine system activation and chronic inflammation grade lowering

doi: 10.1046/j.1523-1755.2003.00173.x

As this study has a high risk of bias illustrated by Jadad, it does not provide evidence to support the use of B12 therapy as a treatment for GPN [34]

Diabetes Care 35(12):e84e84 Sahin M et al (2007) Effects of metformin or rosiglitazone on serum concentrations of homocysteine, folate, and vitamin B12 in patients with type 2 diabetes mellitus

Dizziness and lightheadedness: Vitamin B12 deficiency can cause a drop in blood pressure, leading to dizziness or lightheadedness