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A recent PET-CT study revealed that metformin enhances glucose uptake in the basolateral area of the intestines, leading to the production of lactate (reducing pH and bicarbonate in portal vein) and acetate that travel to the liver via the portal vein and lower hepatic glucose production (Tobar et al., 2023)

This process cant happen when your immune system blocks your intrinsic factor

absorption can be reduced by up to 50%

When results fall in this borderline range, a methylmalonic acid test is recommended to confirm whether a functional deficiency exists

It doesnt have to be congruent

Vigorously wipe both stoppers with an alcohol swab and allow them to air dry for about 30 seconds