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The link between diabetes and vitamin B12 is multifaceted and requires more research

Together, they create an environment where the body can adapt to changing composition with minimal visible or functional degradation

Some research links long-term, high-dose metformin to a higher rate of diabetic peripheral neuropathy, while other studies find no clear difference in nerve symptoms between metformin users who are B12 deficient and those who are not

In some cases, a doctor may refer a person to a specialist, such as: a nutritionist or dietitian a hematologist, who specializes in treating blood conditions a gastroenterologist, who specializes in treating gastrointestinal (GI) conditions The table below contains the However, a doctor can advise on an individuals specific needs

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In fact, there was a 2022 case report presented a 22-year-old student who exhibited hyperpigmentation as the only symptom of B12 deficiency