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Accordingly, it has issued new advice to check vitamin B12 serum levels in patients being treated with metformin who have symptoms suggestive of vitamin B12 deficiency.[] The proposed mechanisms to explain metformin-induced vitamin B12 deficiency among patients with T2DM include alterations in small bowel motility, which stimulates bacterial overgrowth and consequential vitamin B12 deficiency, competitive inhibition or inactivation of vitamin B12 absorption, alterations in IF levels, and interaction with the cubulin endocytic receptor

The unemployment rate edged up only about 0.3 percentage points between January and August 2025, suggesting a fairly resilient labor market

The Journal of investigative dermatology

Some anticonvulsant and antidepressant medications can be especially effective at reducing nerve pain

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