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Both vegans and vegetarians have to be proactive to ensure that they wont experience vitamin B12 deficiency

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Nutrients 2023;15:4960

As you can see, the link between Metformin and B12 is complicated

For patients presenting with nonspecific, chronic complaints that cannot be attributed to a specific disease or condition, physicians should request the most relevant and appropriate laboratory and imaging tests on the basis of the patients history and physical examination to narrow down the differential diagnosis

It can also help diagnose the cause of anemia, neuropathy, or other neurological symptoms