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Metformin affects b12 absorption through multiple pathways including interference with calcium-dependent membrane binding in the ileum

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Some of our patients may benefit from B12 injections due to conditions such as pernicious anemia, where the body struggles to produce enough healthy red blood cells because it cannot absorb B12 from food

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In a study conducted by Ng et

[57] [58] A buildup of certain metabolites occurs in B 12 deficiency due to its role in metabolic processes and cellular functions