Baseline vitamin B12 levels before starting metformin Annual monitoring for patients on long-term metformin therapy Consideration of vitamin B12 supplementation if deficiency is detected Antibiotics and Chemotherapy Agents That Affect B12 Metabolism Certain antibiotics and chemotherapy agents can harm vitamin B12 metabolism
Pre-workout Stimulants : Combining stimulants like caffeine with other energy-boosting supplements (e.g., pre-workouts containing high doses of caffeine, taurine, and guarana) may lead to overstimulation, jitters, or even increased heart rate
Pomegranate sources from five pharmaciesBPI Labs, Empower, Hallandale, Red Rock, and OptioRxbased on availability and clinical judgment
doi: 10.21037/tau-22-663 119 ChenLWangCWangYHongTZhangGCuiX
GLS1 is inhibited by its product glutamate