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A relationship between long-term metformin use and vitamin B12 deficiency has been long discussed, and many readers will have come across this in clinical practice

They already are," she said

The Journal of clinical endocrinology and metabolism, 91(12), 47924797

That typically includes: Balanced nutrition with enough protein, fiber, and whole foods Regular movement and strength-building activity Hydration throughout the day Consistent sleep Stress management Provider-guided follow-up The goal is to support the body with healthy routines, not rely on injections alone