The other problem is, patients often cant get B12 shots anywhere else
Certain medications such as Metformin, H2-receptor antagonists including Zantac (Ranitidine), Tagamet(Cimetedine), Famotidine, Pepcid AC (Oral Pepcid), Axid AR (Nizatidine), Proton pump inhibitors (PPIs)including Prilosec (Omeprazole), Nexium (Esomeprazole), Prevacid (Lanzoprazole) and Antacids e.g:Gaviscon can also affect your ability to absorb vitamin B12
The trail isnt always marked, there are risky areas, and theres no cell phone signal
Very high resultsespecially if youre not taking supplementswarrant a conversation with your clinician, who may repeat testing and check related labs
Treatment involves addressing the cause and sometimes vitamin B12 supplements or injections
It is considered the energy formation form of B12 that naturally occurs within the cells of the body during the biochemical citric acid cycle