This can cause anemia, neurological problems, and other health issues, even with normal vitamin B12 levels
Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year
Neurobion is said to help improve nerve function
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study combined copper peptides with minoxidil for this reason (Kuceki et al., 2025)
Everyone else benefits from a short clinician-led consultation before starting