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Ribavirin and pentamidine, administered via nebulizers, require special precautions as they can cause adverse effects in healthcare workers if inhaled, as outlined above (5)

Use active forms like methylcobalamin or hydroxocobalamin, pair them with other B vitamins, and choose oral supplements in liquid or sublingual form

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Metabolic: Hyperglycemia advanced glycation end-products (AGEs), polyol pathway activation, oxidative stress, mitochondrial dysfunction nerve ischemia and axon loss in diabetic neuropathy per ADA Standards of Care

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