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Other factors include: Underlying cause of deficiency : Pernicious anaemia, malabsorption disorders, or dietary insufficiency may affect treatment response Medication use : Metformin and proton pump inhibitors can reduce gastrointestinal B12 absorption (though this does not affect the efficacy of intramuscular injections) Individual variation : Differences in how efficiently your body utilises the injected vitamin Adherence to treatment schedule : Missing injections or delaying maintenance doses can slow recovery Discussing these factors with your healthcare provider helps set realistic expectations for your treatment journey

It's all about finding the right rhythm for your body to keep you feeling energized

The participants were randomly assigned to receive metformin 850 mg twice daily or placebo for 3.2 years, and those in the metformin group received metformin for an additional 9 years

Lidocaine, also called by the name lignocaine, is classified as a local anesthetic