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While B12 injections raise B12 levels much more quickly than oral supplements, consistency is key to maintaining those benefits
PLoS Biol 20:e3001906 Borah K, Mendum TA, Hawkins ND, Ward JL, Beale MH, Larrouy-Maumus G, Bhatt A, Moulin M, Haertlein M, Strohmeier G et al (2021) Metabolic fluxes for nutritional flexibility of Mycobacterium tuberculosis
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Association of B12 deficiency and clinical neuropathy with metformin use in type 2 diabetes patients

Many investigators, including Beitzke and colleagues, 13 have suggested that any patient with OH should be screened for vitamin B 12 deficiency, even in the absence of clinical neurologic signs or typical hematologic manifestations

In rare cases, a person may develop more severe complications
