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Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year

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If you experience any adverse reaction to your injection, most notably pain or any visible skin reaction at the spot where you injected, then you should stop use and talk with your doctor