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Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)

Some find that applying ice to the injection site for a brief period before injection provides temporary numbing, though this should be balanced against the recommendation to use room-temperature medication

Folate: correcting folate alone can mask B12 deficiency and risk neurologic harmcheck both if anemia is present (NHS)

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