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Furthermore, certain medications, like proton pump inhibitors for acid reflux, metformin for diabetes, and some medications for peptic ulcers or heartburn, can impair your bodys ability to process Vitamin B12

Overall, 13 out of 18 of subjects who received the adenosyl B12 had their total bilirubin normalized, 15/18 had their SGOT normalized, 10/18 had their SGPT normalized, and 18/18 (all subjects) had their alkaline phosphatase normalized

Your provider will work with you to find the right dose and timing

Using this medicine with insulin or sulfonylureas (examples: glipizide, glyburide) can cause low blood sugarcheck levels often and talk to your provider about dose changes