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Metformin and Vitamin B12: Deficiency Risk and Management Metformin and vitamin B12 deficiency are closely linked, with long-term metformin use commonly reducing B12 levels in patients with type 2 diabetes

[DOI] [PubMed] [Google Scholar] 160.Marsh DJ, Weingarth DT, Novi DE, et al

Some clinicians have observed that younger adults may experience this side effect more frequently, though this has not been systematically studied
Compounded tirzepatide should never be stored at room temperature unless your specific pharmacy provides written instructions allowing it
