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If simple measures do not provide relief within two to three weeks, further medical review is appropriate to exclude other causes and consider alternative supplementation routes

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Khan FY, Yousif AB, Suliman A, Saleh AO, Magdi M, Alshurafa A, Hassan EA, Ghazy A, Salameh OK, Abdallah A (2021) Association of vitamin B12 deficiency with metformin use in patients with type 2 diabetes treated in the largest tertiary care hospital in Qatar

The goal is not labs for everything, all the time or no labs ever. The real goal is the right amount of testing for you and your situation