b12 sublingual or injection What Is B12? Methylcobalamin is the active form

First things first, theres an actual La Colombe coffee shop in the lobby

Certain medical conditions and medications increase B12 requirements: Long-term use of metformin (diabetes medication) or proton pump inhibitors (PPIs for acid reflux) can impair B12 absorption [13] [14] Gastrointestinal conditions such as Crohn's disease, coeliac disease, or previous gastric surgery Autoimmune conditions beyond pernicious anaemia may affect B12 metabolism When to contact your GP : If you are taking B12 supplements or receiving injections but continue to experience symptoms, request a review

Opioids such as oxycodone, codeine, or methadone may be an effective treatment for severe symptoms that do not respond to other medications

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