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Metformin may decrease intrinsic factor secretion from parietal cells, interfere with the calcium-dependent binding of the resulting intrinsic factor and B12 complex to receptors on the ileal lining, and change small intestinal motility, resulting in decreased B12 absorption

The most frequently reported side effects are localized and temporary

From there, your GP can help you work out what support makes sense

Providers consistently getting anemia claims denied should review MedSole RCM's outsourced medical billing services before the next billing cycle

Vitamin B12 helps with the production of red blood cells and DNA, while iron is needed for the production of hemoglobin, a protein in red blood cells that carries oxygen

[1] It is prepared in a 30 mL multi-dose vial with a preservative (2 % benzyl alcohol) for multiple withdrawals