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Routine testing of vitamin B12 levels in metformin-treated patients should be considered. Because metformin often causes digestive tract upset, many patients are also put on a proton pump inhibitor (PPIs) such as esomeprazole ( Nexium ), lansoprazole ( Prevacid ) or omeprazole ( Prilosec )

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Nurses should follow orders for how often to draw labs

This level of convenience means no extra trips to a clinic and fewer opportunities for dosing errors