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Taking a proton pump inhibitor or other medications that reduce stomach acid for reflux or ulcers, as well as taking metformin for diabetes, can reduce absorption of B12 in food or supplements

Lee, C., et al

Typical Dosage The recommended dosage varies depending on individual needs, but a common regimen is a weekly injection containing 1,000 mcg of Vitamin B12

Clear explanations of the treatment process and important health considerations

A common approach is to add 1 to 2ml of bacteriostatic water per vial of lyophilized powder, but this varies

(It's been placed on the FDA's list of bulk drug substances that cannot be used in compounded medications