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The MHRA states that low vitamin B12 is now considered to be a common side effect, especially when taking high-dose or long-term metformin, affecting up to one in 10 people

JAMA Oncol

Important: Consult & MD approval required

4) Blood Disorders Certain conditions affecting blood and bone marrow including some leukaemias and myeloproliferative disorders such as polycythaemia vera can cause elevated B12 due to increased production of B12binding proteins by white blood cells

The clinical and functional significance of c-Met in breast cancer: a review
