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Although researchers are still investigating the exact mechanism, most evidence suggests that metformin interferes with the absorption of vitamin B12 in the last part of the small intestine, known as the ileum

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These side effects may not always be felt straight away but can develop over a few hours once the immune system begins to work and can sometimes last for several days

They can help determine if this treatment is appropriate for your individual needs and guide you on the safest and most effective way to proceed.