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A cross-sectional, controlled study on Metformin that included both diabetic and non-diabetes patients showed no that irrespective of Metformin use, no significant difference in the serum levels of vitamin B12 was observed, both in patients with and without diabetes (5)

Talk with your doctor about safe ways to reduce your alcohol intake

Some specific types, like methylcobalamin, might even need to be refrigerated

Small intestinal bacterial overgrowth (SIBO) is when you have an overgrowth of bacteria, and this utilises vitamin B12 and can lead to deficiency

However, it should be used under the guidance of a healthcare professional, with a careful evaluation of benefits and risks on an individual basis