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Urinary changes may occur indirectly through improved blood glucose control reducing hyperglycemia-related excessive urination, increased fluid intake to manage gastrointestinal side effects, or concurrent use of other medications like SGLT2 inhibitors that do affect urination

Theres yet to be a firmly established causation between vitamin B-12 deficiency and depression, but there is growing evidence that low B-12 levels may contribute to depressive symptoms, especially in older adults or those with other risk factors

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PMID 30725868

It can balance insulin, leptin, and cortisol