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Description
Metformin is the first therapy for almost everyone with type 2 diabetes, but studies show that the drug creates a risk of vitamin B12 deficiency
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Serum vitamin B12 measurement forms the cornerstone of diagnosis, with levels below 148 pmol/L (200 ng/L) generally considered deficient, though symptoms can occur at higher levels
Providers who offer injections to every patient without any lab work are operating on a wellness-mill model rather than a medically supervised one
