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Though diabetes authorities recommend annual B12 screening for people who have diabetes and use metformin, many clinics fail to test B12 levels every year, according to an article published in Clinical Diabetes

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Its important to understand that while you may not feel it, the vitamin B12 is still being absorbed into the body to produce its effects

Evidence on safety and optimal dosing schedules is limited

Without sufficient B12, the body may experience anemia, numbness, or cognitive decline