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Practical tips for taking it To get the best possible effect from your oral B12 supplement, follow these recommendations: Take on an empty stomach: For best absorption, you should take your B12 supplement in the morning before breakfast or between meals with a glass of water

Acta Diabetol 52(1):4753 Ko S-H et al (2014) Association of vitamin B12 deficiency and metformin use in patients with type 2 diabetes

Mastoid acupuncture is certainly an option that should be investigated more thoroughly through further case studies and clinical trials