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Metformin Treatment: A Potential Cause of Megaloblastic Anemia in Patients with Type 2 Diabetes Mellitus

Another small, randomized, double-blind trial in 93 individuals with low vitamin D status found no additional benefit of B-vitamin supplementation (50 mg/day of vitamin B6, 0.5 mg/day of folic acid, and 0.5 mg/day of vitamin B 12 ) on markers of bone health over a one-year period beyond that associated with vitamin D and calcium supplementation

iScience 2020, 23, 101005

The administration fee alone rarely covers the full cost of clinical time, which is why most practices rely on the drug margin (the difference between acquisition cost and reimbursement) for profitability in buy-and-bill arrangements