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A confirmed, untreated B12 deficiency can contribute to nerve symptoms and anemia over time, and for older adults the balance problems that severe deficiency can cause may raise the risk of falls
Alogliptin, anagliptin, linagliptin, saxagliptin, sitagliptin, teneligliptin and vildagliptin are the compounds currently in clinical use
PMID 40759852
Even partial degradation means you are paying full price for reduced effectiveness
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