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No human study has confirmed this happens at commercially used oral doses
Luke's Hospital lists the following drugs as those that might possibly interact with B12 injections
Rapid rise in the blood: Within hours of the injection, the B12 level in your blood rises significantly, giving your body the raw material it has been missing
doi:10.1503/cmaj.080727
The appropriate approach depends on the patients symptoms, diagnosis, medical history, product quality, delivery method, and provider guidance
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