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This makes oral supplements less effective for individuals with: Pernicious Anemia: An autoimmune condition where the body can't produce intrinsic factor

Johns wort can reduce the effectiveness of many prescription medications by speeding up their metabolism (breakdown in the body)

If you injected into the left side of your abdomen this week, use the right side next week

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A proper lab workup and discussion with a physician are necessary to discover or rule out whether inadequate B12 levels could be at play