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It has been reported that an average of 630% of patients could show vitamin B12 deficiency due to metformin use.[] As per UK MHRA, decreased vitamin B12 levels, or vitamin B12 deficiency, are now considered to be a common side effect in patients on metformin treatment, especially in those receiving a higher dose or longer treatment duration and in those with existing risk factors
Try to increase water intake of your cat, it helps in reducing the intensity of side effect
NSAIDs reduce inflammation by blocking certain enzymes, which helps with pain but doesnt address the underlying tissue damage
Acpayam etal, 020
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