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Recommendation for clinical practice: Patients with type 2 diabetes treated with Metformin, especially those with concomitant use of proton pump inhibitors, should be monitored for vitamin B12 deficiency and/or hyperhomocys- teinemia

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[DOI] [PubMed] [Google Scholar] 72.Escande C, et al

Some therapies (including certain peptides and compounded medications) may not be FDA-approved and may be prescribed for off-label use

Possible adverse reactions, considered rare and exceptional, include: Acne is reported as a relatively common symptom when very high doses are administered at once

Gender-specific Hormones There are also hormonal imbalances specific to each gender