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Association between metformin and vitamin B 12 deficiency in patients with type 2 diabetes: A systematic review and meta- analysis

Health Conditions That Affect B12 Levels Even if you eat a diet rich in vitamin B12, certain health conditions can prevent your body from absorbing it properly

INDICATIONS AND USAGE Cyanocobalamin is indicated for vitamin B 12 deficiencies due to malabsorption, which may be associated with the following conditions: Addisonian (pernicious) anemia Gastrointestinal pathology, dysfunction, or surgery, including gluten enteropathy or sprue, small bowel bacteria overgrowth, total or partial gastrectomy Fish tapeworm infestation Malignancy of pancreas or bowel Folic acid deficiency Cyanocobalamin Injection, USP is also suitable for the vitamin B 12 absorption test (Schilling test)

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In one study, approximately one in every three people with depression had elevated homocysteine levels