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metformin b12 injections assalamuwalaikum, can reduce absorption of Vitamin B12, and this is a well-established long-term adverse effect. Mechanism Metformin mainly interferes with: Calcium-dependent absorption of the intrinsic factor–B12 complex in the terminal ileum Table 2 from Sublingual vitamin
Description
Thats one of the many benefits B12 offers

Involvement of insulin-like growth factor-I in the control of glucose homeostasis

Because its a water-soluble vitamin, B12 wont stay in your system for long, which means its essential you replenish your levels through diet or supplementation

The Role of Vitamin B12 in Post-Bariatric Surgery Health Vitamin B12 plays an important role in maintaining your overall health after bariatric surgery

If this is the real reason then why dont they prescribe pre-loaded syringes like they do when you have an operation

Are side effects possible
