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To our knowledge, several narrative reviews, including patients with Biermers disease, have reported preliminary data of the efficacy of oral vitamin B12 treatment [3,10,18,19]
Vitamin B12 Medicine Interactions Chloramphenicol: bacteriostatic antibiotic can interfere with red blood cell response to supplemental Vit B12 Proton pump inhibitors: omeprazole and lansoprazole, etc., slow gastric acid release and may interfere with VIt B12 absorption from food H2-receptor antagonists: cimetidine, famotidine and ranitidine slow the release of hydrochloric acid into the stomach and interfere with Vitamin B12 absorption from food Metformin: might reduce absorption of Vitamin B12 due to altered intestinal motility, increased bacterial overgrowth, etc
Proper technique involves cleaning the injection site with alcohol, pinching the skin to create a fold, inserting the needle at a 45-90 degree angle, injecting slowly, and rotating injection sites to prevent irritation
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