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Deficiency causes nerve dysfunction (numbness, balance issues) and can lead to irreversible damage

Routine testing of vitamin B12 levels in metformin-treated patients should be considered. Because metformin often causes digestive tract upset, many patients are also put on a proton pump inhibitor (PPIs) such as esomeprazole ( Nexium ), lansoprazole ( Prevacid ) or omeprazole ( Prilosec )

Quick and immediate boost: Injection form delivers the vitamin directly into the bloodstream, allowing for more immediate and effective absorption

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