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Your provider can adjust your diabetes management plan, initiate B12 supplementation if needed, or consider alternative medications if metformin is contributing to symptoms

Collagen supplements may provide additional structural building blocks

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Additionally, severe constipation can lead to bloating and gas, which might create a sensation of fullness or tightness in the chest

Allergic Reactions: Rare but serious reactions like rash, hives, swelling, or difficulty breathing can occur with either oral or IV use

Niacin (Vitamin B3) deficiency can cause pellagra , characterised by the three Ds: dermatitis, diarrhoea, and dementia