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[23] [24] The MHRA advises testing for B12 deficiency if symptoms or signs develop in patients taking metformin, and considering periodic monitoring in those at risk

A specific enzyme called nicotinamide N-methyltransferase (NNMT) is getting attention for its role in obesity and diabetes

Because when you cant absorb B12 through the stomach, shots are simply the only reliable solution to avoid the neurological symptoms of B12 deficiency, and to keep living a normal life