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If you are taking metformin, your healthcare provider may recommend additional vitamin B-12 supplementation, especially if you are on a high dose of metformin or if you have other risk factors for vitamin B-12 deficiency

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So, so, yeah, we, we really do need to think about some of these other things

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Filhoulaud, G., Guilmeau, S., Dentin, R., Girard, J

5,10 The decreased pain sensation allows the muscle to be passively stretched toward normal length, which then helps to inactivate trigger points, relieve muscle spasm, and reduce referred pain