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Description
Prescription Requirements and Medical Oversight To ensure safe and effective treatment, Vitamin B12 injections must be prescribed and administered under medical guidance
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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
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Competing interests The authors declare that they have no competing interests
