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Metformin and Vitamin B12 deficiency Reduced absorption of vitamin B12 is a side effect of long-term use of metformin

If symptoms creep back, revert to your previous B12 injection schedule

Reduces The Risk of Macular (Eye) Degeneration When compared to people with adequate Vitamin B12 levels, those with a deficit have over double the risk of developing AMD, which is a disease of the macula

Goodman notes

The products cited are: Recalls & Warnings December 19, 2020 FDA Finds Unapproved Drugs in Many Weight Loss and Sexual Enhancement Products Sold Online On December 18, 2020, the FDA warned consumers that certain products promoted for weight loss, body building, sexual enhancement, pain relief, sleep, and other uses because may contain harmful ingredients