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In contolld clinical tials mtomin 29 wks’ duation, a dcas tsubnomal lvls pviously nomal sum vitamin B 12 lvls, without clinical manistations, was obsvd in appoximatly 7% patints. Such dcas, possibly du tintnc with B 12 absoption om th B 12 -intinsic actcomplx, is, howv, vy aly associatd with anmia and appas tb apidly vsibl with discontinuation mtomin vitamin B 12 supplmntation. Masumnt hmatologic paamts on an annual basis is advisd in patints on ACTOPLUS MT and any appant abnomalitis should b appopiatly invstigatd and managd. Ctain individuals (thos with inadquat vitamin B 12 calcium intak absoption) appa tb pdisposd tdvloping subnomal vitamin B 12 lvls. In ths patints, outin sum vitamin B 12 masumnts at two-tth-ya intvals may b usul.

In phamacokintic studis with pioglitazon, nsigniicant dincs w obsvd in phamacokintic paamts btwn ldly and young patints [s CLINICAL PHAMACOLOGY ].

Tabl 7: Tatmnt-mgnt Advs vnts Congstiv Hat ailu (CH) in Patints with NYHA Class II III Congstiv Hat ailu Tatd with Pioglitazon Glybuid.

Tabl 3: Advs vnts ( ? 5% ACTOPLUS MT) potd by Patints with Inadquat Glycmic Contol on Dit and xcis in a 24-Wk Doubl-Blind Clinical Tial ACTOPLUS MT Administd Twic Daily.

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