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Proton Pump Inhibitors, H2-Receptor Antagonists, Metformin, and Vitamin B-12 Deficiency: Clinical Implications

This formula can be administered via IV, IM, or SubQ injection

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More serious but rare side effects may include pancreatitis, gallbladder issues, or hypoglycemia, especially when combined with other glucose-lowering medications

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The authors recommend continued research into optimal treatment duration