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Metformin-induced vitamin B12 deficiency can cause or worsen distal symmetrical, autonomic and cardiac neuropathy in the patient with diabetes

This allows the vitamin to be absorbed directly into the bloodstream without having to go through the digestive system, reducing the risk of malabsorption in the stomach

A person with borderline deficiency will certainly reach the ideal level faster than someone with pernicious anemia or severe malabsorption

Retrieved 9 November 2019

Older adults over 50 in particular, tend to deal with issues regarding their bodies absorbing the proper amount of vitamin B12

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