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10.1016/j.abb.2014.08.017 158 XuW.HouL.LiP.LiL

The median increase of vitamin B12 levels in the non-responder group was 97 pmol/l (IQR: 78, 173) and in the responder group 934 pmol/l (IQR: 571, 1130)

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In a previous randomised, placebo-controlled trial, de Jager et al (2010) added metformin 850 mg three times daily to insulin therapy (a higher metformin dose than is usually now used) and demonstrated a number needed to harm of just under 14 for development of B12 deficiency over the 4.3 years of the trial

Unfortunately, such conditions can lead to binging on calorie-dense foods and being unhealthily inactive

Turn the bottle of B12 upside down, insert the clean needle into the rubber seal and withdraw the required dosage