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[2,8] Metformin may reduce serum B12 levels by causing B12 to accumulate in the liver.[8] For example, randomized controlled trials of patients taking metformin for an average of 4.3 years had a ~20% decrease in B12 levels and a 7% increased risk of B12 deficiency compared to placebo

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Here's how it works: Reducing 5-alpha reductase activity 5-alpha reductase is the enzyme responsible for converting testosterone into DHT

The injection method provides more consistent results than traditional diet supplements alone

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