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Metformin, widely prescribed for type 2 diabetes, can impair B12 absorption through effects on calcium-dependent ileal uptake

Understanding Vitamin B12 Deficiency Vitamin B12 deficiency occurs when your body lacks enough of this essential nutrient, leading to symptoms like: Persistent fatigue Weakness and lightheadedness Numbness or tingling in hands and feet Memory problems and difficulty concentrating Mood changes, including irritability and depression Certain factors increase your risk, such as age, certain medications, digestive conditions, and restrictive diets

You should take Imigran at the first sign of a migraine

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