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Were able to reduce pain and improve movement without the need for surgery or oral medications

For confirmed B12 deficiency without neurological involvement , the standard regimen comprises 1 mg hydroxocobalamin intramuscularly three times weekly for two weeks, followed by maintenance doses every two to three months for those with irreversible causes like pernicious anaemia

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Evidence suggests that metformin lowers vitamin B12 levels and raises homocysteine levels in patients with type 2 diabetes Observational studies have suggested that metformin causes vitamin B12 deficiency in some patients

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