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2008, 3: e3954- Derikx JP, Bijker EM, Vos GD, van Bijnen AA, Heineman E, Buurman WA, van Waardenburg DA: Gut mucosal cell damage in meningococcal sepsis in children: relation with clinical outcome

NPs should take a proactive approach to prevent it by monitoring vitamin B12 or MMA concentrations during long-term metformin treatment and prescribing replacement therapy when low levels of B12 or increased levels of MMA are found