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B12 Deficiency & Metformin January 31, 2023 If you take metformin to treat diabetes, be aware that you are at higher risk of vitamin B12 deficiency

Journal of Nutrition , 136 (6), 1636S1640S

if a patient is on blood pressure-lowering drugs (such as beta blockers, alpha-1 blockers, or vasodilators), niacinamide injections could lead to an additive drop in blood pressure