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Experts Recommendations for Therapeutic Landscapes The extended use of metformin, a key player in preventing type 2 diabetes among individuals with prediabetes, has been associated with vitamin B 12 deficiency, particularly concerning for specific subgroups such as those with a BMI of 35 kg/m 2 , individuals below the age of 60, and women with prior gestational diabetes mellitus [46]

A negative correlation was obtained between vitamin B12 levels and serum concentrations of ALT in a cross-sectional study 8

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