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Diabetes and pre-diabetes were evident in 84/159 (59.1%) of patients

A B12 deficiency can be difficult to diagnose and is commonly confused with a folate deficiency

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In accordance to that, DPP4 expression levels of NAFLD patients were negatively correlated with HOMA-IR and BMI, and positively correlated with total cholesterol levels, but not with ALT, lactate dehydrogenase (LDH), or triglyceride levels

65 Given this, it is not unexpected that case reports of suicide in people taking incretin treatment have been documented, and these are being monitored by the European Medicines Agency and the US Food and Drug Administration