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Baseline vitamin B12 levels before starting metformin Annual monitoring for patients on long-term metformin therapy Consideration of vitamin B12 supplementation if deficiency is detected Antibiotics and Chemotherapy Agents That Affect B12 Metabolism Certain antibiotics and chemotherapy agents can harm vitamin B12 metabolism

We understand that you have a busy schedule so we will tailor our program to fit your needs while still making sure you aremonitored appropriately

Cyanocobalamin is a synthetic form of B that contains a cyanide group, whereas hydroxocobalamin is a naturally occurring form produced by bacteria

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