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Combining the medicine with good habits often leads to better and longer-lasting results

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I did my own research, ordered from a Canadian supplier, and started a simple protocol: By day five, I noticed the sharp pain had softened into something more like a dull ache

Medication Interactions Certain medications reduce the absorption of methylcobalamin, cyanocobalamin, and other B12 supplements, including: Proton pump inhibitors (omeprazole, esomeprazole, and lansoprazole) H2-receptor antagonists (cimetidine, famotidine, and ranitidine) Metformin Colchicine Cholestyramine Certain antibiotics (neomycin and chloramphenicol) If you use these or other medications, talk with a healthcare provider about ways to maintain healthy levels of B12.