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b Includes asthenia and fatigue

Written by Allison Jones, FNP Medically reviewed by Dr

Metformin can cause a serious condition called lactic acidosis, especially in people with kidney problems, liver disease, heavy alcohol use, or conditions like heart failure

What the Evidence Suggests The direct link between B12 supplementation and kidney damage is not well-supported by clinical research, but understanding the origin of concerns and the subtleties of the evidence is key

However, many cats may benefit from B12 shot injections under their skin

This is a fascinating compound for researchers, a novel tri-agonist that targets glucagon-like peptide-1 (GLP-1), glucose-dependent insulinotropic polypeptide (GIP), and glucagon receptors