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If you take certain medications If you take certain medications (like metformin, Prilosec, or Pepcid), you might need more vitamin B12
Uofmhealth.org
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) Over-the-counter medications like ibuprofen (Advil) and naproxen (Alleve) may help relieve some fibro pain
Basically, cyanocobalamin needs to be broken down to cobalamin and cyanide in order to convert to the active form of B12, and some researchers have concerns about the effects of cyanide accumulation in the body with long-term use of cyanocobalamin but the jurys still out on whether thats a cause for concern
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