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Despite being widely available in food, a significant portion of adults have low or suboptimal B12 levels, often without realising it

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Since B 12 deficiency is quite common in type 2 diabetic patients (see Section 2.1) and since B 12 deficiency causes neurological symptoms similar to DPN, B 12 deficiency may cause the neuropathy occurring during the course of diabetes or just accelerate the progression of DPN [9]