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why are b12 injections better than pills vs Pills: Richmond's Complete Guide Vitamin B12 Injections vs. Supplements:
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In clinical studies, many patients experienced large reductions in HbA1c , a test that reflects average blood sugar levels over the past three months

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There is an association with "watermelon stomach" (GAVE) and pernicious anemia

Metformin and reduced vitamin B12 levels: new advice for monitoring patients at risk
