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While its been dubbed COVID arm, medical professionals refer to it as delayed cutaneous hypersensitivity. It refers to a delayed red rash or lesion that some people develop in their arm around the injection site after receiving the vaccine

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The MHRA advises that metformin commonly reduces B12 levels and recommends testing if deficiency is suspected (for example, in patients with anaemia or neuropathy) and considering periodic monitoring in people with risk factors such as higher doses, longer duration of treatment, or other risk factors for deficiency

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