He needed more frequent b12 injections like most do witb sn absorbtion problem
Lin Z, Tang Q, Wu W, et al
However, caution should be taken when interpreting these results due to short follow-up periods (i.e., 1.11.4 years [18,19,20]), the possibility of confounding bias caused by the inclusion of advanced T2D cases (i.e., requiring intensive insulin therapy [18]), uncertain liver effects (e.g., incident NAFLD) of active comparators (i.e., DPP4is [19, 20] and insulin [18]), lack of dose-response analysis, and limited generalizability to other ethnic populations
It adds that renal or hepatic impairment can alter glutathione metabolism, and that anyone already experiencing gastrointestinal side effects is adding one more variable to track