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These include, extreme tiredness, a lack of energy, pins and needles, muscle weakness, disturbed vision, mouth ulcers, a sore and red tongue, and cognitive or psychological concerns such as depression, confusion, and difficulty with memory, understanding or judgement
Rather, the focus is on restoring normal thyroid hormone levels
The American Diabetes Association guidelines now recommend routine evaluation for vitamin B 12 deficiency in patients taking metformin [19, 29]
