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Hydroxocobalamin is longer-acting , more bioavailable , and less toxic than cyanocobalamin

Metformin, commonly used in diabetes management, has been associated with reduced vitamin B12 absorption, potentially through effects on calcium-dependent vitamin B12-intrinsic factor absorption in the terminal ileum

The treatment plan usually starts with an intensive course before settling into a routine

Fatigue Heart palpitations Pale skin Weight loss Infertility Difficulty in thinking and remembering Numbness and tingling in the hands and feet

You can use regular insulin syringes and inject the B12 solution into fat tissue (subcutaneously)

it can make you downright miserable