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Vitamin B12 injections deliver the nutrient directly into the muscle, bypassing the digestive system altogether

Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65

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This is the best form of B12, native to the body, and its what we recommend to all patients with absorption issues especially those with neuropathy or pernicious anemia

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