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Graa, Campos, et al., 2018

Once treatment is initiated, your GP will typically arrange follow-up appointments to monitor your response to treatment

It helps form red blood cells, prevent vitamin B12 deficiency, and maintain healthy metabolism

Theories include alteration of bile acid metabolism, small intestinal bacterial overgrowth, effects on intestinal motility and interference by metformin on vitamin B12-intrinsic factor absorption in the terminal ileum

It is worth noting that there are many food products fortified with Vitamin B12 , and many pharmaceutical supplements that contain the vitamin and can be taken without a prescription, but injections containing cyanocobalamin in the form of capsules are dispensed with a prescription after the doctor performs the necessary diagnostic tests