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This is not a hypothetical scenario

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for example, cervical radiculopathy is a mixed pain syndrome, in which a nervous lesion causes a common neuropathic pain syndrome, but in which there are also potentially nociceptive pain elements related to noxious stimuli of skeletal and soft tissue [2,8]

Research suggests that metformin can reduce vitamin B12 absorption in the digestive tract, potentially leading to lower B12 levels over time
