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Metformin use and risk of B12 deficiency increases with the dose and the duration depletion can be seen as early as 3-4 months after starting so it is important to attend for follow up blood tests and talk to your doctor

Increased Physical Activity Aim for 150-300 minutes per week of moderate exercise like brisk walking, swimming, or cycling

In the UK, intramuscular hydroxocobalamin is the standard formulation due to its longer duration of action compared to cyanocobalamin

The vote was six in favor and seven against, with one abstention

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