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Long-term metformin use is recognized by regulators as being associated with reduced B12 levels in some patients, which is one reason clinicians may monitor B12 status over time

A doctor will administer the same poke test during an examination

But pain that becomes severe, lasts for weeks, spreads into the shoulder or arm, limits movement, or interferes with sleep and daily activities may indicate something beyond a routine vaccine reaction

Complementing this, NAD+ injections are celebrated for their potential to boost energy levels, enhance metabolism, and support cellular health, making them an excellent addition to any weight loss regimen

I don't doubt in the least that juanpablo is suffering from something, but I'd be surprised if B12 had anything to do with it