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However, vitamin B 12 deficiency does not generally develop until after at least two-to-three years of continuous therapy (137-139)

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Lixisenatide in patients with type 2 diabetes and Acute Coronary Syndrome

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STEP 6: Slowly Increase the Dose (if tolerated) If you don't experience any negative reactions after a week, gradually increase the dose as tolerated

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Diabetes Obes Metab 20(3):571581

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