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Commonly used for blood sugar management, Metformin can interfere with how the small intestine absorbs B12

You are over the age of 50 (when stomach acid naturally declines)

Supplementing with this is a very effective treatment for B12 deficiencies commonly found in patients who suffer from diseases or have nutritional deficits (such as ultra low calorie diets)

Because these surgeries bypass the part of the gut where absorption happens, the American Society for Metabolic and Bariatric Surgery notes that lifelong injections are often required

As we learn more about how it works, it could become an important tool for managing weight