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Many breast cancer treatments, particularly certain chemotherapy regimens and hormonal therapies like tamoxifen or aromatase inhibitors, can contribute to weight gain and metabolic syndrome, making diabetes management more complex

doi: 10.1186/s12916-023-02881-z 71 ReisFMDMonteiro C deSCarneiroMM

This will require an element of transparency and patient consent . Now, this again is the main reason to realize that in trying to diagnose B12 deficiency, as mentioned earlier, you can only make ONE first impression

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This is almost half a milliliter, which means you are drawing nearly half the syringe on a standard 1ml insulin syringe