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Association of vitamin B12 deficiency in people with type 2 diabetes on metformin and diabetic peripheral neuropathy Nature article: Shows prolonged metformin use correlates with lower B12 and more severe diabetic neuropathy
These include: Paraesthesia (pins and needles) in hands and feet Peripheral neuropathy with numbness or altered sensation Difficulty walking or balance problems (ataxia) Memory problems and cognitive difficulties Mood changes, including depression or irritability In severe cases, confusion or dementia-like symptoms Other manifestations may include: Loss of appetite and unintentional weight loss Constipation Visual disturbances (rare, but can occur with optic neuropathy) Important: The neurological complications of B12 deficiency can progress even in the absence of anaemia, making early detection crucial
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A typical schedule looks like this: Initial loading course: If you have neurological symptoms, injections are given every other day for two weeks
Discount Pet Meds uses Australia Post as their courier partner, with two shipping options to select from at checkout: Express Post the fastest choice Standard Post the most economical (normally 2 days behind express post) Please note: Australia Post has a weight limit of 22kg per parcel
