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Accessed 12 Feb 2026

DPP-4 inhibitors typically lower HbA1c by 0.51.0% (approximately 5.511 mmol/mol)

Lipo C is contraindicated in patients with Lebers hereditary optic neuropathy (cyanocobalamin can worsen this condition), active B12-dependent malignancies, severe kidney disease (impaired methionine clearance), or known hypersensitivity to any component

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Your toes and fingers may become numb, or start to hurt