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Chapman LE, Darling AL, Brown JE (2015) The association between the biguanide drug metformin and vitamin B 12 deficiency in diabetic patients: a systematic review

EDIT: Your post intrigued me and I was a bit concerned about the assumption that normal ferritin levels meant that haemochromotosis is not present

Some other signs of a B12 deficiency are pale skin, loss of appetite, heart palpitations, and infertility