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The peptides are dispensed per patient, dosed and adjusted at follow-ups

Experimental Dermatology2011 54

Key takeaways Metformin helps regulate blood sugar for diabetic patients but can lead to a vitamin B12 deficiency

Larger population studies would be needed to identify uncommon reactions

This has nothing to do with b12 status and everything to do with excessive caloric deficit and insufficient protein intake relative to the rate of weight change