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It would of course be pertinent to suggest they recall any patients with a B12 serum test result under 500 and reassess them all

People Taking Certain Medications Long-term use of metformin (a common diabetes medication) and proton pump inhibitors (PPIs) like omeprazole can reduce B12 absorption over time

Some patients might also experience headaches, lightheadedness, or stomach upset, such as mild nausea [2]

This article explores the different kinds of B12 supplementation, why one might be preferable over the other, and if there are any extra benefits or risks depending on that choice

If we answer the question of who such approaches are considered for, first and foremost these are patients for whom it is important to slow progression rather than simply eliminate symptoms

During digestion, vitamin B12 is usually removed from protein and then sent straight into the bloodstream