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If your family physician doesnt have any answers, we encourage you to make an appointment with a hematologist (a blood specialist)

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However, this decision is highly individual and depends entirely on the specific cause and severity of your B12 deficiency, as well as your bodys unique absorption capabilities

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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