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However, in ALC and placebo treatments, HbA 1c significantly increased [from 51.1 14.0 mmol/mol to 54.4 15.2 mmol/mol ( P = 0.0007) and from 50.5 12.2 mmol/mol to 53.0 14.0 mmol/mol ( P = 0.0230), respectively] whereas HOMA-IR decreased [from 3.1 (2.0 to 5.7) to 2.6 (1.7 to 4.8) ( P = 0.0251) and from 3.3 (2.1 to 5.1) to 2.9 (1.7 to 5.2) ( P = 0.0267), respectively] after 6 months (Table 2]

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In last, clinical studies covering various diseases along with their prevention are also covered in this review

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Patients with low or marginal B-vitamin or B12 status, a condition far more common than clinical deficiency, frequently report noticeable energy improvement within hours of infusion

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