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Journal of Acquired Immunodeficiency Syndromes, 53 (3), 311-322

Certain Medications Long-term use of medications such as metformin (for diabetes) and proton pump inhibitors or antacids (for acid reflux) can interfere with vitamin B12 absorption over time

This is how they know your dose is right

The concept of long-term stores is a simplification that overlooks the rapid metabolic turnover and the fact that a symptomatic patient may experience a swift decline in their well-being as the effects of the last injection wane
