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You may wish to ask your GP the following questions: Has my B12 level been checked recently , particularly if I have been on metformin for more than a year, or if I have symptoms or risk factors for deficiency

If you have reduced MTR or MTRR activity, you may want to avoid excess acetaldehyde by not drinking much alcohol

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However, it is important to understand that 24 weeks, while substantial for clinical trials, provides limited information about safety with years-long continuous use