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Researchers classify it as a "stable gastric pentadecapeptide" because of its unusual stability in the harsh acidic environment of the stomach
There is no FDA-approved human trial yet
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No results yet about half way through so thats disappointing
The mechanisms behind B12 deficiency in metformin users are multifactorial but are probably related to intestinal absorption, so it seems sensible to assume that oral B12 replacement may be less effective, although there is little evidence in this area
This ensures an accurate assessment of B12 status, the identification of any underlying conditions contributing to deficiency, and the development of an appropriate treatment plan
