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It is considered a strong B12 vitamin because of its high bioavailability, which means the body can easily absorb and utilize it

PPIs examples include omeprazole, lansoprazole, rabeprazole, pantoprazole, and esomeprazole

[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares

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Vitamin B12 shots are generally safe for most people, but certain medical conditions may increase the risk of side effects or require careful consideration before starting the treatment

It is crucial to have a proper diagnosis before beginning B12 supplementation to avoid overuse or unnecessary treatment