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Metformin (for diabetes), proton pump inhibitors (such as omeprazole or esomeprazole), and H2 blockers (such as famotidine) can all reduce B12 absorption over time

Notably, strict glucose control may increase the risk of hypoglycemia and augment Covid-19 mortality in T2DM patients (Son et al

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Possible Infection Seek medical guidance for drainage, spreading redness, increasing warmth, fever, chills, or significant tenderness around the injection site