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If you are, B12 shots likely will increase your energy

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Figure 6

Long-Term Use of Certain Medications: Some common drugs interfere with B12 absorption: Metformin: A widely used diabetes drug

Subclinical deficiency common in people who drink alcohol, eat refined carbohydrates regularly, or take metformin produces fatigue, brain fog, and cognitive sluggishness that is almost instantly reversible with B1 repletion