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In fact, the absorption of B12 requires that you have adequate stomach acid (among many other factors), which means that if you are taking acid blockers for reflux you are likely reducing your absorption of B12

(13) As a result, low levels of IF can interfere with the ability to absorb vitamin B12 and lead to a deficiency

Only a three monthly dose is needed . It is therefore more convenient for the patient and cheaper by dosage regimen and in the time required of nursing staff to administer injections So now, just two years later we have moved to 3 monthly injections WHY

The FDAs guidance on compounding pharmacies outlines the legal and quality differences between licensed compounded medications and research compounds sold without a prescription, which directly affects injection site safety