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Methionine -Aids in the metabolism of sugars and carbohydrates Inositol - Boosts energy production from food Choline -Accelerates fat metabolism and recovery times Cyanocobalamin -A form of vitamin B12, it aids in energy production by converting carbohydrates into glucose, boosting energy levels and supporting metabolic functions B6 - Enhances energy by promoting red blood cell production Methionine - Aids in the metabolism of sugars and carbohydrates Inositol - Boosts energy production from food

Metformin-related vitamin B12 deficiency occurs as metformin causes reduced vitamin B12 absorption by interfering with the vitamin B12-intrinsic factor complex

Report new vision changes, severe weakness, or swelling promptly

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It is also a part of treatment in dogs with gastrointestinal disease as correction of cobalamin deficiency may enhance treatment

Vitamins B5 and H have reported to cause life-threatening adverse reaction of eosinophilic pleuropericarditis and patient history for such allergy should be checked before administration (36)