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Control Group ( D ): 125 diabetic patients continued standard anti-diabetic therapy without GSH supplementation
Long term treatment with metformin in patients with type 2 diabetes and risk of vitamin B12 deficiency: randmised placebo controlled trial
Especially smokers should thus avoid cyanocobalamin and use other forms of B12 instead this will keep their exposure to cyanide down, and will even help with detoxification
Confirming the deficiency with a blood test is what makes that trade-off clear
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