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Theories include alteration of bile acid metabolism, small intestinal bacterial overgrowth, effects on intestinal motility and interference by metformin on vitamin B12-intrinsic factor absorption in the terminal ileum

Vitamin B12, or cobalamin, is a water-soluble vitamin essential for red blood cell production, nervous system health, DNA synthesis, and energy metabolism

4.2 Posology and method of administration NEUROBION AMPOULES are preferably injected intramuscularly (deep intragluteal)

This may include repeat serum B12, MMA, or complete blood count (CBC)

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