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That does not make B12 useless
Routine testing of vitamin B12 levels in metformin-treated patients should be considered. Because metformin often causes digestive tract upset, many patients are also put on a proton pump inhibitor (PPIs) such as esomeprazole ( Nexium ), lansoprazole ( Prevacid ) or omeprazole ( Prilosec )
This ensures that the treatment is suitable for your specific medical condition and can help increase the chances of a successful pregnancy
However, research suggests that maintaining adequate B12 levels may help with weight management by improving energy levels[2] and overall metabolic efficiency[1], particularly for those with a deficiency
Think I replied to the wrong person I find alcohol has a much stronger effect since my B12 has been low
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