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NICE NG28 and the MHRA advise considering B12 monitoring in long-term metformin users who have symptoms or risk factors for deficiency, as metformin can impair B12 absorption in the terminal ileum

Stress, sleep, ageing, menopause, hormonal changes after significant weight loss

It should also be noted that a mother who eats a vegan diet while breastfeeding puts her child at risk of developing a vitamin B12 deficiency [5]

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Oral administration at 100150mg to match subcutaneous bioavailability doubles the per-dose cost, which influences protocol design when budget constraints exist

Im scared and want to get better, please let me know if you had similar symptoms and when they stopped