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Conclusion Whilst severe B12 deficiency has a clear clinical picture with characteristic haematological and/or neurological features, establishing mild or borderline deficiency can be problematic as serum levels are maintained at the expense of tissue concentrations, and therefore serum levels of B12 may be in the low normal or borderline range despite a deficiency

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

You can visit Hodgson Pharmacy to get your Vitamin B12 injection in Dartford , Longfield, or Gravesend and consult with any of our expert healthcare providers

If the dark stool also has a foul smell and is accompanied by other symptoms like abdominal pain, lightheadedness, or vomiting, its important to let your doctor know, as these may be signs of a more serious issue

Are there any serious side effects