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Nevertheless, use of metformin may decrease vitamin B 12 status: a meta-analysis of four short-term intervention trials (up to 4 months’ duration) in patients with type 2 diabetes found that metformin use decreased serum cobalamin concentrations by 57 pmol/L, which could have clinical implications if such patients have suboptimal vitamin B 12 status (146)
Research Grade
Color:415 Medium Deep
Seniors using our geriatric medical services sometimes find that injections help maintain healthy levels when a deficiency is confirmed
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