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It is advisable to continue treatment with metformin in order to reduce the insulin requirements

Reduced appeal of sweet foods is one such change

JCSM Rapid Communications, 3(1), 25-41

Iron deficiency anemia typically produces pallor rather than dark spots, but B12 deficiency has been associated with diffuse lip hyperpigmentation in clinical literature

Some patients may be able to use FSA or HSA funds for eligible expenses, depending on their plan terms and benefits administrator