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If dizziness persists, becomes severe, or is accompanied by other symptoms like rapid heartbeat or difficulty breathing, this requires medical evaluation rather than continuing use

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SGLT-2 inhibitors and thiazolidinediones may also be used concurrently, though patients should be monitored for any unexpected interactions or adverse effects

doi: 10.1007/s11434-014-0722-7 Summary Keywords non-alcoholic liver disease, vitamin B12 concentrations, liver enzymes, Mendelian randomization, genome-wide association studies Citation Fu L, Wang Y and Hu Y-Q (2023) Bi-directional causal effect between vitamin B12 and non-alcoholic fatty liver disease: Inferring from large population data