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First, its important to understand that B12 shots are significantly more effective than B12 in pill or drop form for several reasons

PMID 13854292

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Drug interactions and special situations Metformin and acid-suppressing meds can lower B12ask about periodic monitoring (NIH ODS)

44 In a crossover trial, blood samples taken after eating a bowl of onion soup or a control soup suggested onions may have an immediate inhibiting effect on platelet aggregation

However, when damage has already occurred or occurs as the result of using prescribed medications, it is essential that you follow the right steps