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Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)

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Ideally these should be well soaked or fermented because then it reduces the compounds that makes digestion harder

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You can tell this upon injection

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