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Metformin: this medication, used to treat type 2 diabetes, can reduce the absorption of vitamin b12, increasing the risk of deficiency

Some individuals may experience heightened anxiety or sleep disturbances when treated with the injections containing phentermine (11)

Signs You May Need a Higher B12 Dosage Recognising when current B12 intake or supplementation may be inadequate is important for preventing progression to more serious deficiency states

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Vitamin B12, folate, and homocysteine in depression: the Rotterdam Study