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Regular measurement of hematologic parameters is recommended in all patients on chronic metformin treatment

In addition to cognitive function and energy levels, B12 supplements have been associated with a range of other health benefits

Oral vitamin B12 replacement: an effective treatment for vitamin B12 deficiency after total gastrectomy in gastric cancer patients

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After reviewing literature and conducting a two-round Delphi survey with 42 experts, a consensus emerged that emphasizes prioritizing clinical symptoms in diagnosis, with serum B12 as a screening marker supported by methylmalonic acid or homocysteine levels for additional confirmation

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