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Additionally, Metformin may alter gut bacteria, potentially leading to intestinal bacterial overgrowth that further hinders B12 uptake

57 MengC.DengP.MiaoR.TangH.LiY.WangJ.et al (2023)
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BDNF = brain-derived neurotrophic factor, TrkB = tropomyosin receptor kinase B, HGF = hepatocyte growth factor, c-met = c mesenchymal-epithelial transition factor
doi:10.1002/(SICI)1522-2594(199904)41:4 3.0.CO;2-G 119. Tong, J., Fitzmaurice, P

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