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The MHRA recommends monitoring B12 levels in patients on long-term metformin treatment

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Common features include: Fear of abandonment or separation sensitivity Intense, fast-shifting emotions Unstable relationship patterns Shifting self-image or goals Impulsive reactions under distress Chronic emptiness Anger that is hard to calm Key Symptoms and Patterns in BPD In BPD, shifts in mood are often reactive to interpersonal stress (conflict, distance, or perceived rejection) and can change within minutes to hours