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Metformin induces vitamin B12 malabsorption, which may increase the risk of developing vitamin B12 deficiency, a clinically important and treatable condition

But getting enough folate from what you eat plays a bigger role in folate levels than having MTHFR gene variants

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Sterile Water: This is simply purified water that has been sterilized

However, since PZQ cannot prevent reinfection, regular repeated large-scale mass drug administration (MDA) is needed in endemic settings, which requires large infrastructure and financial investment

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