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The observed risk for metformin-induced vitamin B 12 deficiency demonstrated an additive effect for rs1801222 genotype, with both AG (OR 1.37 [95% CI 1.21, 1.54], I 2 =18.6%) and AA (OR 2.30 [95% CI 1.99, 2.65], I 2 =0%) genotype groups being at increased risk vs the GG group
Plus, the body very quickly urinates any excess of B12
Focus on preserving existing muscle through resistance training 3-4 times weekly and hitting 100g+ protein daily
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