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Ssentongo P, Ssentongo AE, Voleti N, Groff D, Sun A, Ba DM, et al

Studies have shown that long-term use of metformin may be associated with B12 deficiency

For best results, these injections should be paired with a healthy diet and regular exercise

Side effects of B12 deficiency can include decreased cognitive function, fatigue, lethargy, feeling faint, depression or irritability, headache, balance issues and more

Dengue can cause a slight decrease in RBC count, but it's typically not a major concern

We avoid cyanocobalamin, which is an old form that holistic doctors don't rely upon you don't get as good metabolic effects from it