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Continue watching as Emily Kauffeld, MSN, APRN, FNP-C, NP-C, a nurse practitioner in the Wellness Center, discusses the benefits and process of recieving Vitamin B12 shots

Nevertheless, use of metformin may decrease vitamin B 12 status: a meta-analysis of four short-term intervention trials (up to 4 months duration) in patients with type 2 diabetes found that metformin use decreased serum cobalamin concentrations by 57 pmol/L, which could have clinical implications if such patients have suboptimal vitamin B 12 status (146)

Omega-3 fatty acids (2-4g daily) support cardiovascular health during metabolic changes and may enhance insulin sensitivity

Energy tends to respond first, mood and focus follow within a week or so, and the longer-term, structural benefits build quietly over months

But full correction of deficiency symptoms usually takes 4-8 weeks minimum