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Potential interactions include: Metformin (used for type 2 diabetes) Proton pump inhibitors (PPIs) and H2-receptor antagonists (used for acid reflux) Colchicine (used for gout) Nitrous oxide (anaesthetic gas that can inactivate B12) Chloramphenicol (may reduce the haematological response to B12 therapy) If you take any of these medications long-term, discuss B12 monitoring with your healthcare provider

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B12 injections generally work faster and suit people with absorption problems or severe deficiency, while supplements are a suitable, lower-cost option for mild, diet-related shortfalls

After opening a vial, refrigerate and keep the top covered