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Here are examples of nursing diagnoses that may be useful for common concerns associated with diabetes: Imbalanced Nutrition: Less Than Body Requirements related to inadequate (or excessive) dietary intake and increased metabolic demands as evidenced by weight loss, decreased muscle mass, and reports of fatigue

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Adequate levels of B12 support metabolism in three key ways: B12 breaks down nutrients from food and turns them into usable energy

The key is that you start supplementation before or during early onset (within the first year) of having ALS symptoms