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Avoid use if you are allergic to Methylcobalamin, Pyridoxine, Nicotinamide, or similar injections
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The references below are starting points for the mechanisms discussed here
Patients should also be aware that certain medicationssuch as proton pump inhibitors (PPIs) and metformincan interfere with B12 absorption, though this is less relevant once on injection therapy
But I will Continue to take my injections and see where they get me
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