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I usually recommend a combination of metformin and phentermine for patients who have a combination of obesity with a body mass index (BMI) of more than 30 or a BMI of 27 with any of the following conditions: Type 2 diabetes, PCOS, or insulin resistance, says Yoshua Quinones, MD, board-certified internist with Medical Offices of Manhattan and contributor to LabFinder.com
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The substantial hepatic storage of vitamin B 12 can delay clinical manifestations for up to 10 years after the onset of deficiency
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