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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

Inositol , a member of the B vitamin family, plays a role in fat metabolism and helps regulate insulin sensitivity

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However, Lacto-Ovo vegetarians who consume dairy and eggs typically get enough B12 from these animal-derived foods

For example, she says, its more common for people age 50-plus to take metformin, which is widely prescribed to lower blood sugar levels and manage type 2 diabetes