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Long-term metformin use is linked to a 67% higher likelihood of vitamin B12 deficiency

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When B12 Injections Make Sense Alongside Semaglutide B12 injections are medically appropriate if a blood test shows B12 levels below 200 pg/mL, if you have pernicious anemia (an autoimmune condition affecting B12 absorption), or if you follow a strict vegan diet with no supplemented foods