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Metformin may decrease intrinsic factor secretion from parietal cells, interfere with the calcium-dependent binding of the resulting intrinsic factor and B12 complex to receptors on the ileal lining, and change small intestinal motility, resulting in decreased B12 absorption

Repeat labs at 8-week intervals while both compounds are active

Avoid freezing the reconstituted solution, since freezethaw can denature the protein

Our product comes as a small fast dissolve lozenge tablet that can dissolve in the mouth before swallowing so people who have difficulty swallowing pills can take it easily as well

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