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Originally Posted by zkrp01
but may not be bad enough to be symptomatic. Mine was 119 at one point and didn't have symptoms until I had a small car crash. I believe that Metformin taken over time can block b-12 absorbtion in a certain percentage of people. I am thinking one-third. So in my book that means if you take Metformin you need to know what that number is. I took shots monthly plus pills and felt improvement over the course of 5 or 6 mo. Good Luck, Ken in Texas.
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I question the diagnostics. I've read that everyone in the 300's should be tested for pernicious anemia. I asked the hematologists about it. He did nothing. I regretfully didn't pursue it. I even developed vitiligo while taking b12. The vitiligo stopped when I started the methyl b12. It's so painfully obvious now. I'm with you about monitoring. I don't trust the results of conventional tests after my experience.