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The community generally attributes this to poor manufacturing
Yes, vitamin B12 works well with other treatments
Injections are particularly appropriate for those with: Pernicious anaemia, an autoimmune condition affecting B12 absorption Conditions affecting the stomach or small intestine, such as Crohns disease or coeliac disease Those who have had gastric surgery or bariatric procedures Strict vegans and vegetarians not meeting their B12 needs through food or oral supplements For those who can absorb B12 normally, oral supplements are generally an effective and well-evidenced alternative to injections
B12 also plays a critical role in nervous system health by maintaining the myelin sheath, a protective covering around nerves
Although further study of these interactions is necessary, patients receiving these agents concurrently should be monitored for the desired therapeutic response to vitamin B12
Monitor if you are hypotensive or on antihypertensives
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