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Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team
But it is so much more than simply an energy-boosting vitamin
Ongoing Monitoring Follow-up care tracks your response, adjusts treatment if needed, and ensures safety throughout the process
& Kim, K
If there is no deficit or the symptoms are mild, weekly dosage may not be necessary
