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Serum Cobalamin Concentrations and Small Intestinal Ultrasound Changes in 75 Cats with Clinical Signs of Gastrointestinal Disease: A Retrospective Study

So there is plenty of evidence showing that Metformin and Vitamin B12 deficiency is a problem, especially with long term use of Metformin and this is a drug that is usually taken forever once it is prescribed Metformin And Vitamin B12 Deficiency The Solution The first thing to do is to get your vitamin B12 levels tested so that you have a baseline reading, dont follow the reference range but make sure your levels are over 400 as a minimum

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If you have one or more of the risk factors for decreased B12 levels, in addition to adopting a plant-based diet, its important you work with a medical doctor, nutritionist or other health care professional to ensure your B12 levels remain in the healthy range