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Nevertheless, use of metformin may decrease vitamin B 12 status: a meta-analysis of four short-term intervention trials (up to 4 months duration) in patients with type 2 diabetes found that metformin use decreased serum cobalamin concentrations by 57 pmol/L, which could have clinical implications if such patients have suboptimal vitamin B 12 status (146)

BPC-157 may also support healing of the esophagus and improve outcomes in conditions like GERD and esophagitis

The company urged the FDA to recall all compounded versions of its medicine that include untested additives

In these cases, B12 injections are crucial for maintaining adequate nutrition and preventing deficiencies that could arise from altered digestive capabilities