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Long-term risks are rare but may include nerve damage, leading to tingling, numbness, or weakness in limbs

In a post hoc analysis after 13 years of the study, a 13% increased risk of vitamin B12 deficiency per year of metformin use was reported (Aroda et al, 2016)

Diagnosis involves serum B12 measurement (levels below 148 pmol/L indicate deficiency

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Factors Influencing the Speed of Results At The Derm Spa, we understand that each individuals response to B12 injections can vary
