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Decreased vitamin B12 absorption due to altered gut microbiota Potential for megaloblastic anemia in prolonged use Increased risk of neuropathy and other neurological complications Dose and Duration Considerations The risk of B12 deficiency with metformin depends on the dose and how long you take it

If youre vegan or mostly plant-based, oral or sublingual B12 is usually enough long term shots are typically for documented deficiency or absorption issues (NIH ODS)

Combination Protocols: AOD-9604 can be combined with other metabolic support peptides or compounds, though careful consideration should be given to potential interactions

Who Should Consider B12 Injections