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When autonomic neuropathy is diabetic in etiology, use the E-code combination (E11.43 = Type 2 DM with diabetic autonomic neuropathy)

In over 1,000 vitamin B12 shots, Ive never seen anyone have any issues with either, but there is a theoretical risk factor for both

Others claim it supports gut health, recovery, or even neurological repair

Your provider can adjust your diabetes management plan, initiate B12 supplementation if needed, or consider alternative medications if metformin is contributing to symptoms

However, long-acting peptides (e.g., CJC-1295 w/ DAC, Semaglutide ) should not be split, as they are designed for a single weekly injection

The shots often include Vitamin B12, methionine, inositol, and choline, which work together to help your body burn fat