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The advice is to investigate and treat the vitamin B12 deficiency in the normal way, following clinical guidelines, and to continue the metformin

However, many factors can limit or even prevent proper absorption

Let us see what are the symptoms of high vitamin B12 Most people with high vitamin B12 do not experience symptoms related to the vitamin itself

There is no advantage to using the light sensitive forms of cobalamin, such as methylB 12 or adenosylB 12 , instead of the stable cyano or hydroxy forms, which are readily converted in the body into the coenzyme forms, methylB 12 and adenosylB 12

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