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By having a B12 deficiency, it may contribute to even less B12 being properly absorbed

Nursing Diagnosis Risk for Unstable Blood Glucose Levels as evidenced by [e.g., inadequate diabetes knowledge, inconsistent self-care practices, and potential barriers such as limited resources, lack of family support, or cultural beliefs] Expected Outcomes The patient will demonstrate stable blood glucose levels within the target range as evidenced by regular self-monitoring and adherence to the prescribed treatment plan

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OPSS addresses this concern directly, warning supplement contamination can contribute to adverse health events and potential drug-testing consequences