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Association between metformin and vitamin B12 deficiency in patients with type 2 diabetes - PMC
The concept of ‘selective insulin resistance’ is therefore critical for understanding the complex pathophysiology of T2DM, in which the insulin resistant state prevails in many tissues, but in a tissue-dependent, pathway-specific manner
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But I’ve learned to learn from my patients, did my homework, and sure enough, this mom, who’d previously been told by several of her daughter’s doctors in no uncertain terms that she was too pushy (she was pretty sure she’d heard the term ‘pain in the ass' get used about her in a doctor’s office) did in fact figure out what was going on with her daughter