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Introvit (interchemie)Vitamin injection Vitamin A is involved in the process of formation and preservation of function of epithelial tissues and mucous membranes, is important for fertility and is essential for vision

Metformin users, common among type 2 diabetes patients who then add semaglutide, face a double hit since metformin independently reduces B12 absorption by 10-30% over long-term use

[1] Causes of generalised hyperpigmentation include excessive sun exposure, drugs, Addisons disease and nutritional disorder such as Vitamin B12 deficiency

Laboratory markers Blood tests that quantify deficiency, such as low serum B12 or anemia, often improve over weeks to months