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Some of the more common underlying issues we see in the clinic include: Pernicious anaemia

I am a 36 year old, 5 times/week active type 1 diabetic (controlled diabetes, no complications)

diagnosed by skin punch biopsy for intraepidermal nerve fiber density Erythromelalgia burning with visible redness and warmth, triggered by heat or exercise, relieved by cold

Retrieved March 8, 2010

In clinical studies and customer reports, AHK-Cu has shown no hormonal side effects, no sexual side effects, and no immune suppression

Hydroxocobalamin and adenosylcobalamin also exist but see less use in standard wellness care settings