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Metformin can interfere with the absorption of vitamin B12 in the small intestine, leading to lower B12 levels over time

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Here, through a proteomic screen of serum from AQP4-IgG-positive NMOSD patients and a control cohort, we observed a significant downregulation of Insulin-like growth factor 2 (IGF-2) in the serum of AQP4-IgG-positive NMOSD patients and correlated with disease severity

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