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Emerging research suggests that B12, together with folate, may help reduce the risk of nervous systemrelated birth defects such as spina bifida

+ before: top 2% of population + after: top 0.2% of population + better than 99.75% of 18-25 yr olds + mean glucose dropped 8% + time above 125 mg/dL: zero min + variability dropped 11% This single session reduced my estimated HbA1c by 6.8% from 4.7% to 4.4%

Horses with equine metabolic syndrome, PPID, or a history of elevated insulin levels often face an increased risk of future episodes

If the decision is made to continue patients on topiramate in the face of persistent acidosis, consider alkali treatment