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Anyone on long-term metformin, PPIs, or a GLP-1 protocol with significantly reduced intake for months should have B12 checked as part of routine monitoring
Although these conditions are rare, they can be fatal in around 10% of cases for SJS and 30% of cases for TEN [3] , which necessitates urgent management by a range of specialists in secondary care
Taking too much can cause side effects like nausea, headache, dizziness, and, in some cases allergic reactions
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