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Cyanocobalamin Drugs (BNF)
Conclusions I welcome this clear advice from the MHRA, clarifying the frequency of vitamin B12 deficiency in patients taking metformin, especially those on higher doses and longer-term therapy
You may find that like me, they are a different to normal for a while
Iron dextran with vitamin B12 is a classic example for piglets and calves, helping support hematopoiesis and vitality under veterinary guidance
A word on why once daily is the anchoring frequency rather than something more elaborate
Metaxas C, Mathis D, Jeger C et al (2017) Early biomarker response and patient preferences to oral and intramuscular Vitamin B12 substitution in primary care: a randomized parallel-group trial
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