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Endocrinology 150 , 33363344 (2009)

Given the patients history and physical examination, coupled with a low vitamin B1 level and rapid correction in glycemic control, the most likely explanation for this patients presentation was thiamine deficiency and concurrent lumbosacral polyradiculopathy associated with treatment-induced diabetic neuropathy (TIND)

Since dentists are the first point of contact in the clearance process for implant procedures, its critical to always ask patients specifically about osteoporosis medications before sending them to the physician