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If you take metformin regularly, talk to your health professionals about getting screened for vitamin B12 deficiency

Symptoms of B12 Deficiency include: Weakness or fatigue Difficulty maintaining balance Cognitive difficulties, like memory loss Oral pain, especially a red or swollen tongue Tingling or numbness, especially in fingertips Distorted or blurred vision Dizziness or shortness of breath What to expect: Vitamin injections are quick and safe

Postural orthostatic tachycardia syndrome: clinical presentation, aetiology and management

If this occurs, slight dose adjustment (increasing by 50mcg if not already at 500mcg) may help