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METFORMIN ALERT: The Overlooked Link to Vitamin B12 Deficiency You Can't Ignore Critical Update for #DiabetesCare Teams : Long-term #Metformin therapy is a well-established, yet frequently missed, cause of #VitaminB12Deficiency

This is particularly problematic when small nuclei embedded in white matter, such as the cerebellar nuclei, are the target

A 10 mg vial reconstituted with bacteriostatic water yields about 5 mg/mL

The glycine and B12 additions are generally well-tolerated at the doses used in these formulations and rarely contribute their own adverse effects

The two are synergistic making Catosal significantly more effective for metabolic recovery than either component alone

SSRIs help set that process in motion