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Intramuscular (IM) injections are a quick and effective way to deliver high doses of vitamins directly into the muscle tissue for slow release into the bloodstream

Pre-post-dietary intervention change scores were analyzed with Wilcoxon signed-rank tests and paired sample t -tests across the full sample, and changes across symptom severity categories were analyzed using ANOVA

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We further point out that there are there few patients in this study ( n = 7) who were on insulin, hence it is unclear if the observations described here extend to those in whom insulin insufficiency is severe