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Metformin, a commonly prescribed medication for diabetes, is also associated with vitamin B12 deficiency Functional vitamin B12 deficiency Some people appear to have enough vitamin B12 in their blood, but they do not have the proteins they need to transport it between cells

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For these situations, antiviral medications such as famciclovir (reduces herpesvirus replication) can be used to address the actual viral infection and often even chronic symptoms can be controlled at least temporarily