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Association of biochemical B 12 deficiency with metformin therapy and vitamin B 12 supplements: The National Health and Nutrition Examination Survey, 1999-2006 Diabetes Care
When to Increase or Decrease Dosage We adjust dosages based on lab results and how patients are feeling

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Importantly, these changes were observed without significant reductions in food consumption, pointing to enhanced energy metabolism rather than appetite suppression as the primary mechanism

As a water-soluble vitamin, B12 is stored in the liver and supports digestion, immunity, and overall health

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