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After a couple of bouts of her not eating regular food I called my vet and said I thought it was time to start giving her some B12

Excessive pressure damages tissue

Verified review - view original I really like this product, I have definitely had success with it

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
