Brief Answer:
Nervup OD is recommended for Vitamin B12 supplement in diabetes

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read through your query in detail.
NERVUP-OD contains mecobalamin 1500 mcg, alpha lipoic acid 100 mg, folic acid 1.5 mg, pyridoxine hydrochloride 3 mg.

This is a supplement for Vitamin B12 and is given to treat nerve related problems in diabetes.

It is made by a well known company and recommended for Vitamin B12 supplement. Please take as recommended by your doctor.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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Brief Answer:
Taking one cap a day is sufficient, metformin reduces Vitamin B12

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

Taking one cap a day is enough.
Vitamin B12 malabsorption is a common and well known complication of longterm metformin use.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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Brief Answer:
Please continue taking Janumet at same dose if sugar is under control

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

Please find my observations below.
1. Janumet (Sitagliptin and metformin) can be continued to control your blood sugar levels. No change is required if your sugar is under control.

2. As discussed earlier taking metformin will reduce Vitamin B 12 absorption and taking Nervup OD will take care of this.

3. Do kidney function test, eye check up and nerves checked once every year.

4. Continue doing HbA1C level test every 3 months

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek

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