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[11] [4] However, long-term metformin use is associated with reduced vitamin B12 levels, listed as a 'common' side effect (affecting up to 1 in 10 patients) in the medication's Summary of Product Characteristics (SmPC)

If you would prefer to start out with sublingual forms and oral B12 then I recommend this supplement

B12 Injections can help improve memory, lack of focus, energy, emotional stability, female fertility, low testosterone for men, digestive issues, hypothyroidism, red blood cell formation, metabolism, and its also helpful for nerve and brain regeneration

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Storage Sealed storage, away from moisture * In solvent : -80C, 6 months

The method of giving the shot, like intramuscular, subcutaneous, or intravenous, affects the dose