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Metformin, used as treatment for type 2 diabetes, induces B12 malabsorption and has also been associated with low total serum B12 concentrations (AlFawaeir & AlOdat, 2022)

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Call your doctor or healthcare professional right away if you experience: severe pain at the injection site tingling or numbness redness or other color changes, swelling, or warmth at the injection site drainage at the injection site prolonged bleeding signs of an allergic reaction, such as difficulty breathing or facial swelling You may have some anxiety about performing or receiving an injection, especially an intramuscular injection, due to the long needle

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Cohen CT, Powers JM Advances in nutrition (Bethesda, Md.) 2024

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More significant changes to body composition, such as increased lean body mass and fat loss, typically become apparent after three to six months of consistent use

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