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Vitamin B12 is a powerhouse nutrient, vital for everything from producing red blood cells to maintaining healthy nerve function and keeping your energy levels stable

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[23], the risk of developing vitamin B12 deficiency was significantly correlated with the duration of metformin intake, with a ninefold increased risk beyond 10 years and a 4.6-fold increased risk for a treatment duration between 4 years and 10 years

Without intrinsic factor, the B12 in your diet simply passes through your digestive system unabsorbed