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Since 2017, the ADA has recommended periodic vitamin B12 testing for individuals treated with metformin, especially in the presence of peripheral neuropathy or anemia [9]
Common protocols are once daily for systemic recovery or twice daily (split morning and evening) when targeting a specific injury
To confirm a negative result, wait 48 hours to ensure the vial remains purple, which indicates that no bacteria were detected
Strategies include: Prioritizing protein: When eating capacity is limited, prioritize protein-rich foods before other macronutrients
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