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This is the schedule for cobalamin injections and monitoring that the Gastrointestinal Laboratory at Texas A&M University currently recommends: Every 7 days for 6 weeks, then one dose after 30 days, and retesting 30 days after the last dose
8,9 Table 1 Risk Factors for Vitamin B12 Deficiency A multicenter randomized controlled trial of 390 patients with diabetes mellitus showed that those taking 850 mg of metformin three times per day had an increased risk of vitamin B 12 deficiency (number needed to harm = 14 per 4.3 years) and low vitamin B 12 levels (number needed to harm = 9 per 4.3 years) vs
And because we now understand some of those genetic drivers and that this can be a disease for folks, it takes that away
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