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More rigorous clinical studies are needed to determine their efficacy, safety, and appropriate treatment protocols

Colchicine, Neomycin, Aminosalicylic Acid, H2-blockers (e.g., Ranitidine), and Proton Pump Inhibitors (PPIs, e.g., Omeprazole): These oral medications can all interfere with the intestinal absorption of dietary B12, making the need for injectable B12 more pronounced

After 4 weeks we recommend getting an injection of B12 two times a month for 2 months, then B12 shots can be helpful monthly (1 x a month) as maintenance

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Sudden weight reduction or maladaptation to an altered body perception may elicit biological and psychological reactions that can potentially impact suicidal thoughts