Proton pump inhibitors (PPIs) and H2-receptor antagonists, used for acid reflux, reduce stomach acid production, which can impair dietary B12 absorption, though this does not directly affect injections
Referral or signposting when testing or another healthcare service is more appropriate
[30] Cobalamin analogs prepared by this method include the naturally occurring coenzymes methylcobalamin and cobamamide, and other cobalamins that do not occur naturally, such as vinylcobalamin, carboxymethylcobalamin and cyclohexylcobalamin
| Benefits of MIC injections Vitamin B12 deficiency is also commonly linked with depression
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Use Aseptic Technique: A sterile syringe and needle must be used for every injection to prevent contamination of the multi-dose vial between uses