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Similarly, people with lower levels of stomach acid may also have a difficult time releasing the vitamin for absorption

Preventing and Treating B12 Deficiency on Metformin Prevention and management of vitamin B12 deficiency in metformin users involves a combination of dietary optimisation, appropriate supplementation, and, when necessary, therapeutic replacement

Vitamin B12 deficiency occurs when the body lacks enough of the vitamin to produce adequate red blood cells, leading to symptoms such as fatigue, weakness, and neurological issues

The best way to prevent feeling worse after a B12 injection is by starting with small doses and gradually increasing them over time