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[1] [2] However, longstanding neurological complications, such as peripheral neuropathy or cognitive changes, may require three to six months of consistent treatment before significant improvement occurs, and some damage may be irreversible if treatment is delayed

We have parallel epidemics of malnutrition/ undernourishment and obesity around 172 million Indians are undernourished, according to the 2025 State of Food Security and Nutrition in the World (SOFI), and the National Family Health Survey-5 (NFHS-5, 2019-21) data shows that approximately 24% women and 23% men in India are either overweight or obese

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19 Management is dependent upon salient features from a historical and physical exam