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Potential interactions include: Metformin (used for type 2 diabetes) Proton pump inhibitors (PPIs) and H2-receptor antagonists (used for acid reflux) Colchicine (used for gout) Nitrous oxide (anaesthetic gas that can inactivate B12) Chloramphenicol (may reduce the haematological response to B12 therapy) If you take any of these medications long-term, discuss B12 monitoring with your healthcare provider

Injections offer nearly 100% bioavailability, sending the vitamins directly where they are needed

The more active you are, the better your metabolism will function and the more calories you will burn, which can help you lose weight

There are a few contraindications to having the IM Vitamin B12 injections in the clinic