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And a man who takes a pill for every ill but is never really cured

UK guidance (MHRA and NICE) advises checking B12 levels in patients on metformin who develop symptoms of deficiency (anaemia, neuropathy) and considering periodic monitoring in those on long-term therapy

Increased energy is often the first noticeable change, followed by gradual improvements in body composition over subsequent weeks

Instead, focus on including a wide variety of healthy foods, like: lean meat and poultry or other protein sources like peas, beans, and lentils nuts and seeds oily fish limit your intake to 2 portions of fish a week (avoiding more than 1 portion of fish with a high mercury level like shark and swordfish) whole grains like oats, wholemeal bread, brown rice, quinoa and vegetables milk and cheese or other calcium-enriched foods You should also aim for at least 1500-1800 calories a day

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