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Metformin is an oral hypoglycemic medication, and Victoza is a non-insulin injectable medication
So it may be that the liver has to work extra hard to detoxify the body when its low 0on B12, even when there's no liver damage
The MHRA update is simply a reminder that powerful drugs require powerful vigilance, and until we have larger, long-duration real-world safety data, clinicians should err on the side of specificity in monitoring and patients should be taught exactly what to look for. Hector Perez, MD
it can take years for the affects to manifest as symptoms
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