Like all medical treatments, B12 injections may cause mild side effects in some individuals
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
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Even though the NICE Guideline says that patients may need more frequent injections GPs are still largely ignoring or unaware of this guidance
With a roughly 5-day half-life, a biweekly schedule creates a real valley before the next shot