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H.et al (2008)

Through the looking glass: understanding non-inferiority

Metformin, widely prescribed for type 2 diabetes, can impair B12 absorption through effects on calcium-dependent ileal uptake

Deliberately increase fluid consumption to compensate

However, some people may have difficulty absorbing or obtaining enough vitamin B12 from their diet, leading to a deficiency diagnosed by a simple blood test to measure your levels
