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There are different identifiable types of diabetes from a clinical perspective, which encompass conditions such as monogenic forms of diabetes (e.g., maturity-onset diabetes of the young or neonatal diabetes), gestational diabetes, and a probable autoimmune variant occurring later in life termed autoimmune diabetes of adulthood with latent onset [7,8]

The methodological quality of the included studies, as assessed through the Jadad and NewcastleOttawa scales, varied from moderate to high, while the GRADE assessment indicated moderate certainty of evidence for serum vitamin B12 increase and low certainty for homocysteine reduction

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