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Quality scores ranged from 2 to 5 stars
As well as causing B12 deficiency, an increase in methylmalonic acid occurs, which is thought to result in loss of myelin in the peripheral nerves and, consequently, neuropathy, which may be symptomatic as early as 2 years into metformin treatment
It can manifest as headaches, itching, and stomach problems
In certain cases, healthcare providers must also report elevated B12 levels with the ICD 10 code for elevated Vitamin B12
Individuals typically notice a reduction in fatigue within 48 to 72 hours after a B12 injection
If a deficiency is identified, well develop a personalized treatment planwhich may include B12 injectionsto quickly and safely restore healthy levels
