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San Diego: : Academic Press 2015

This might lead to a test to see if their B12 level is low

Review of Studies Examining How Metformin Affects the Status of Specific Micronutrients and the Microbiome Vitamin B1 Vitamin B1 (thiamine) acts as a coenzyme in neurotransmission and low levels of this nutrient may have a role in the development of certain diabetic complications