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When deficiency is suspected based on clinical features (fatigue, paraesthesia, cognitive changes) or risk factors (vegan diet, gastric surgery, certain medications), serum B12 measurement guides appropriate intervention

** Product contains benzyl alcohol as an inactive ingredient Contraindications for Benzyl Alcohol This preparation is not advised in patients who are sensitive to cobalt and/or vitamin B12

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Similarly, if you use proton pump inhibitors or H2 receptor antagonists for acid reflux or peptic ulcers, your stomach acid levels may decrease, making it harder for your body to absorb B12 from your diet

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