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They will assess your needs and health before recommending the dosage

There are several causes of vitamin B12 deficiency, including poor dietary intake, malabsorption, and pernicious anemia

I started taking vitamin B12 shots and I've never felt better

Routine testing of vitamin B12 levels in metformin-treated patients should be considered. Because metformin often causes digestive tract upset, many patients are also put on a proton pump inhibitor (PPIs) such as esomeprazole ( Nexium ), lansoprazole ( Prevacid ) or omeprazole ( Prilosec )

If you miss a dose, skip the missed dose and continue with your regular schedule

PMID 19699272