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This makes sure the B12 dose is right and safe

The deficiency most often goes unrecognised because the clinical manifestations are highly variable, often subtle and non-specific, but if left undiagnosed the consequences can be serious

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Adverse Effects and Black Box Warnings Side effects most commonly seen in patients taking Meglitinides include (14): Weight gain Whipple triad Hypoglycemia Symptoms of hypoglycemia Shakiness Increased hunger Sweating Fatigue Irritability Anxiety Lightheadedness Heart palpitations Confusion More severe Changes in vision or speech Seizures Loss of consciousness Coma Hypoglycemia 30mL/min/1.73