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Diabetic myelopathy is a rare condition characterized by spinal cord dysfunction in diabetes patients without other identifiable causes, presenting with progressive spastic paraparesis, sensory disturbances below the lesion level, and potential bladder and bowel dysfunction

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Recombinant human insulin-like growth factor-I (rhIGF-I) therapy in adults with type 1 diabetes mellitus: effects on IGFs, IGF-binding proteins, glucose levels and insulin treatment

However, researchers do not know if the effects of obesity can cause a reduction in B12 levels or if reduced B12 levels may be a contributing factor to obesity