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Some receive a little, but what they may be taught is not necessarily up to date or their training focused solely on PA (pernicious anaemia) and the frankly ridiculous notion that anyone without a definite diagnosis of this or the presence of anaemia does not require treatment

Second, as a stimulant, long-term use is generally avoided to prevent potential strain on the cardiovascular system and to minimize the risk of dependency

Occasional headaches or mild stomach upset are also reported but tend to resolve quickly

Some medical conditions, including autoimmune disease like shingles (herpes zoster), rheumatoid arthritis or celiac disease, as well as Lyme disease, some cancers, and several other diseases can also cause or increase the risk of nerve damage, also sometimes referred to as peripheral neuropathy

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