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We also keep a daily log of our doses and any symptoms

Untreated deficiencies can lead to pernicious anemia and chronic fatigue, with more severe cases even impairing neurological function

Murphyg, C

Long-term Metformin Therapy and Monitoring for Vitamin B12 Deficiency Among Older Veterans

Preliminary clinical trials also indicate that metadoxine may curb drinking and help maintain abstinence (301, 302)