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Metformin, commonly used in diabetes management, has been associated with reduced vitamin B12 absorption, potentially through effects on calcium-dependent vitamin B12-intrinsic factor absorption in the terminal ileum

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CLICK HERE TO KEEP READING FOX BUSINESS The medications were distributed nationwide to customers and medical facilities in glass vials in a small 3 inch by 3 inch white box, according to the notice

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If needed for a clear medical indication (such as treating pellagra in a pregnant patient), niacinamide can be used with caution, but unnecessary high-dose B supplementation is avoided in pregnancy