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The guidance around the management of B12 deficiency in people treated with metformin is a little unclear, owing to a lack of clinical evidence in this area

Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults

Eating B12-rich foods like meat, eggs, and dairy or taking supplements daily can also help raise levels over time

Not only do B vitamins help to reduce inflammation a key cause of chronic back pain but they also help our bodies to replace damaged spinal nerve cells with new, healthy ones