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Losing weight reduces this load, alleviating pain associated with conditions like osteoarthritis

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For patients with clinical deficiency, effective replacement therapy should lead to a normal blood count after two months of treatment, while improvement in neurologic symptoms begins within one week after initiation of therapy and is usually complete within 6 weeks to 3 months.13 For patients with an asymptomatic biochemical deficiency (ie, subclinical disease), measurement of serum B12 or MMA levels should be done 2 to 3 months after initiation of replacement therapy.12 Once metformin is started, this medication is seldom discontinued unless advanced renal impairment develops

Hair Loss and Skin Changes B12 plays a role in cell reproduction, including hair follicles and skin cells

For example, older people frequently have a problem with low acid levels in their stomachs