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Patients typically describe the experience as a deep warming sensation with surface cooling
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This is where many people get stuck
A public instruction to seek reimbursement is meaningful only if patients can return the medicine without unnecessary resistance, delay or confusion
Long-term metformin use may reduce vitamin B12 absorption, and NICE recommends considering B12 monitoring in patients with symptoms of deficiency (such as anaemia or neuropathy) or risk factors for malabsorption
Afshin Eslami is a board-certified General, Bariatric, and Cosmetic surgeon with experience in more than 10,000 procedures
