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Phan H, Nguyen A, open MD-B, undefined (2025) Association between vitamin B12 deficiency and metformin use in type 2 diabetic patients: a cross-sectional study in a South Vietnam tertiary hospital

Vitamin B12 is an essential nutrient that plays a key role in many vital body functions

it is clear that both intraarticular and epidural injections can have systemic effects for weeks and that complications may be associated with their use, including Cushing syndrome (too much too much cortisol in the blood causing fatty hump between the shoulders, a moon-face rounded appearance among other challenges), loss of bone density , infection , and hyperglycemia

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She also sugests getting lab tests done