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[5] Altered sleep patterns, difficulty concentrating, irritability, overactivity, excitability, mental depression, confusion and impaired judgement have all been reported in patients receiving 15 mg of folic acid daily for 1 month

Regardless of the mechanism involved, an etiological investigation of vitamin B12 deficiency is necessary before attributing it to metformin [14]

However, it doesnt really matter what term you use (chewable tablet, lozenge, sublingual tablet, liquid, etc.) for maximum absorption the main idea is to hold the B12 in your mouth for as long as you can

Patients often feel results quickly, more energy, clearer focus, and improved motivation

Thank you Dr Jay for being available and continuing my care