Reduced secretion of gastric acid and pepsin, from the use of H 2 blocker or proton-pump inhibitor (PPI) drugs, can reduce the absorption of protein-bound (dietary) vitamin B 12 , although not of supplemental vitamin B 12
Second, it is given SC, IM or orally weekly injections or daily capsules, titrated to serum cobalamin but not intravenously
It can also cause balance issues, numbness, or tingling sensations in our hands and feet, raising the chance of falls
B12 reduces these levels
Go outdoors for fresh air.) IMPORTANT
When choosing between these medications, consider whether you only need to replenish vitamin B12 or whether you are looking for the benefits associated with lipotropes as well