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(Best for absorption issues or severe deficiency) Treatment is usually safe and effective most symptoms resolve within weeks of starting therapy

If oral B12 replacement has been trialled in a person with metformin-associated B12 deficiency, I would suggest that a repeat measurement of B12 levels after 812 weeks is a good time to reassess whether absorption is adequate or whether a switch to intramuscular replacement is required

Available in injectable, and intravenous forms for flexibility in administration

You notice other unusual changes or symptoms that concern you

The three compounds can be sourced and reconstituted separately, which allows independent dosing but adds cold-chain items and sterile draws

Sluggish metabolism slowing your progress