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Metformin, a medication for individuals with type 2 diabetes mellitus, was found to decrease vitamin B 12 absorption possibly by tying up free calcium required for absorption of the IF-B 12 complex (143)
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However, it should not be seen as a replacement for prescription medications like Ozempic
The clinical translation of these trial results, which will be important for the comparison of GLP-1RAs with SGLT2 inhibitors in the treatment of patients with heart failure and a preserved ejection fraction, remains to be determined
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