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Nevertheless, use of metformin may decrease vitamin B 12 status: a meta-analysis of four short-term intervention trials (up to 4 months duration) in patients with type 2 diabetes found that metformin use decreased serum cobalamin concentrations by 57 pmol/L, which could have clinical implications if such patients have suboptimal vitamin B 12 status (146)

Treatment usually involves B12 injections, high-dose oral B12, sublingual B12, or nasal B12 spray to bypass the intrinsic factor-dependent absorption pathway - consult your healthcare provider for appropriate options

[3] Which Foods Have the Most Vitamin C

I was sat in bed relaxing watching netflix about 5 hours after the vac and my heart started pounding
