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Although Vitamin B12 is naturally found in foods such as meat, fish, dairy products and eggs, some people struggle to absorb enough from their diet due to medical conditions, digestive disorders or dietary choices

While metformin is commonly used to support blood sugar management, it can have side effects, as can other diabetes medications

For information about other supplements that may help, see our answer to the question: Do any supplements, foods, or oils help reduce muscle pain, muscle cramps, or nighttime leg cramps

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The correlation of cardiac complications with specific mutations will also permit the genetic counseling of patients and their families