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You should switch to a different product

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This nutritional supplement should be taken consistently in the dosage recommended by your healthcare provider

Shishido T, Yasoshima T, Denno R, Mukaiya M, Sato N, Hirata K

When to See a Doctor While mild vitamin B12 deficiency may go unnoticed in the early stages, certain symptoms should not be ignored, especially if they begin to interfere with daily life or worsen over time

Importantly, this study also demonstrated that the B12 reduction associated with metformin use is not transitory but persists and progresses over time and, in some patients, to levels at which replacement is recommended