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However, the B12 itself can stay in your system longer, with effects on red blood cell production and nerve health lasting for weeks or months, depending on your deficiency and injection frequency

Additionally, B12 works closely with folate (vitamin B9) in DNA and RNA synthesis, essential for the growth and function of all cells in the body

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Scenario 4: Elderly patient on multiple medications including metformin A 68-year-old with type 2 diabetes takes metformin, a proton pump inhibitor for reflux, and is starting semaglutide for additional glucose control and weight loss