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One Indian diabetologist has been devoted to finding a solution to this problem for more than 30 years

VITAMIN B12 DEFICIENCY Studies have demonstrated that vitamin B12 malabsorption is a side effect of metformin therapy (53)

As the drug can cause constipation 1 , introducing foods rich in fibre such as fruits, vegetables, and wholegrains might help lower the symptoms by supporting digestion 10

GLP-1s are given by injection and include such drugs as semaglutide, which has been used for more than 15 years to regular blood sugar in diabetes and is the active ingredient in the popular weight loss drugs Wegovy and Ozempic

This is called your maintenance dosage