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Routine testing of vitamin B12 levels in metformin-treated patients should be considered. Because metformin often causes digestive tract upset, many patients are also put on a proton pump inhibitor (PPIs) such as esomeprazole ( Nexium ), lansoprazole ( Prevacid ) or omeprazole ( Prilosec )

Needle insertion uses either a 90-degree angle or 45-degree angle depending on the amount of subcutaneous fat

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For example, people who are suffering from neurological damage (like nerve damage or a spinal cord injury) may take longer to heal, and a full recovery is not guaranteed

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