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Given possible side effects and interactions, patients should speak to their gastroenterologist about the benefits and limitations of CAM before using any type of CAM therapy

This may explain the delay between the initiation of metformin treatment and the onset of vitamin B12 deficiency

If you have a history of allergies or have had a reaction to a supplement in the past, it is important to talk to your doctor before taking a B complex supplement

From there, recommendations are made clearly and practically.

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