Its important to check your B12 levels regularly if youre diabetic and on metformin
This condition further reduces the stomachs ability to produce intrinsic factor-a protein needed to absorb vitamin B12 in the small intestine
However, numerous randomized controlled trials have demonstrated that supplementation with a combination of vitamin B 6 , vitamin B 12 , and folic acid lowers homocysteine levels in individuals with vascular dysfunction or hyperhomocysteinemia
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"Elevated methylmalonic acid is related to cognitive impairement in older adults enrolled in an elderly nutrition program"