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Summary: Feeling worse after a B12 injection typically reflects your body adjusting to replenished vitamin levels, triggering metabolic processes that may temporarily cause fatigue, headaches, or injection site discomfort
Mild flaking or initial darkening may occur as exfoliation proceeds
Our study, Prevalance and Risk factors of Vitamin B12 deficiency in Type 2 Diabetes Mellitus Patients on Metformin at a Tertiary Care Center of Nepal highlights an important clinical message: while metformin remains cornerstone first line therapy for the management of Type 2 Diabetes Mellitus, its long term use may contribute to vitamin B12 deficiency, making regularly monitoring and timely intervention an important aspect of patient care
1 2 3 Clinical Pharmacology
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