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showed that low serum vitamin B 12 levels were observed in individuals taking metformin at doses over 2000 mg/day, and a prevalence of mild neuropathy reaching 22.3% in the metformin-users group compared to 15.1% in the non-metformin users group, consistent with the results of previous studies in the literature [49]

What changes is the injection volume required to deliver each 50mcg dose

It's only a virtue if you're not a screwup

However, addiction or heavy use can be used as evidence to negate the presumption of intent to distribute

OLeary F., & Samman S

Inositol , another key ingredient in MIC/B12 injections, is a type of sugar alcohol that is often associated with B-vitamins