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Instruct patients to seek medical advice if severe joint pain occurs [see Warnings and Precautions (5.6)]

In this context, the consideration of dose-dependent side effects, such as exacerbating breathing difficulties in obstructive sleep apnea patients, impaired blood glucose control when consumed with carbohydrate-rich meals, and an increased risk of nighttime falls due to drowsiness, especially in the elderly, is imperative [236,237,238]

There is no need to give thiamine before administering dextrose

I wonder how long this can continue before health care and insurance costs become more expensive for everyone

Also seek emergency care if you have weakness, confusion, or a history of heart disease