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doi: 10.1073/pnas.0706473105

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Identifying vitamin B12 deficiency requires an etiological investigation similar to the general population before diagnosing metformin-induced vitamin B12 deficiency

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Its utility toward this end was the subject of a 2020 analysis of two clinical trials on individuals with HIV in which the authors concluded, Tesamorelin was effective in increasing skeletal muscle area and density.17 Strength and muscle studies are lacking with regard to non-HIV subjects, but the theoretical efficacy is there