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Although many authors, and regulators, have highlighted the importance of checking vitamin B 12 levels in patients on metformin and giving replacement therapy (which is easy, cheap and readily available) when appropriate, monitoring is rarely done

Think of it like reviving a very thirsty plant

(If opened and stored properly, the vial can often be used for days or weeks usually up to 28 days until the expiration date, as long as sterility is maintained.) Not a Medication By Itself: Bacteriostatic water has no pharmacological effect other than serving as a vehicle

The discomfort dropped from maybe a 7 out of 10 to something more manageable, around a 2 or 3 on bad days