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Most bariatric multivitamins include B12, but a separate sublingual ensures consistent dosing
[PubMed: 11956510] 217
Studies suggest that a significant proportion of long-term metformin users may develop biochemical B12 deficiency, though estimates vary widely depending on the population studied, the duration of use, and the B12 threshold applied
The procedure involves advancing a needle or catheter into the epidural or subarachnoid space between adjacent lumbar or sacral vertebral laminae, then injecting a corticosteroid, local anesthetic, or combination thereof
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