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[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency

Vitamin D (if deficient) plays a role in fat metabolism and should be optimized before starting any fat loss protocol

B12 Shots at Home: NHS Guide to Safe Self-Administration B12 shots at home offer a convenient and effective treatment option for patients with confirmed vitamin B12 deficiency

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These protocols underline that more than just an energy boost is at stake