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The interaction very rarely results in a pernicious anemia that appears reversible with discontinuation of metformin or with Methylcobalamin, vitamin B12 supplementation

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For severe symptoms such as intense abdominal pain with vomiting, high fever, or jaundice, call 999 or go to A&E immediately

Early morning or before bedtime is usually ideal

Moreover, the team recommended increasing fiber intake against the adverse effects of the lowest GL level and increasing the overall dietary quality [129]

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