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Description
Studies indicate that long-term metformin use can reduce serum B12 blood test levels by up to 20%, necessitating regular monitoring and preventive B12 supplementation protocols

Individuals who have undergone gastric surgery (including bariatric procedures) or ileal resection have permanently reduced absorption capacity

We encourage patients to discuss their individual health needs and any questions with our medical team, ensuring that all decisions are informed and tailored to their specific circumstances

& Forger, D
