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While B6 is necessary for nerve health, high doses of the inactive form (pyridoxine) can actually become neurotoxic and cause small fiber neuropathya phenomenon known as the "B6 Paradox." Patients should work with their providers to ensure they are using safe, tissue-ready forms of B-vitamins at appropriate dosages

If you cannot access or afford newer GLP-1 medications, a generation of older weight loss drugs is still available

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It also aids in weight loss, which is not a common feature of most diabetes medications.