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Metformin may result in suboptimal oral vitamin B12 absorption by competitively blocking the calcium-dependent binding of the intrinsic factor-vitamin B12 complex to its receptor

Some common signs include persistent fatigue or weakness, trouble with balance, and that annoying pins and needles feeling in your hands or feet

Also this same situation is happening when pt comes in for ESWL (50590) w/ 90 day global, & the same injection is administered as above

So grateful I gave this a chance

In response to the failures of B12 therapy by MDs, naturopathic doctors (NDs) claimed that typical B12 shots used cyanocobalamin, an inactive form of B12 that didnt work well

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