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Certainly, the development of peripheral polyneuropathy in a diabetic patient on metformin should not be assumed to be due to diabetes alone without checking a vitamin B12 level

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Lactose or Additives Some B12 supplements contain lactose (in chewable tablets) or artificial sweeteners, which can cause gas in sensitive individuals

Essential Functions of Vitamin B12 in the Body Vitamin B12 is important for several body functions

Check your specific product's guidance before substituting one for the other