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Interactions: Inform patients that certain drugs (antibiotics, methotrexate) can affect B12 testing, but generally B12 injections have no major drug interactions

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Journal of the American Geriatrics Society

For most people, daily oral methylcobalamin is more practical than chasing B12 energy shots, which are really designed for confirmed deficiency or malabsorption

This lack of nourishment can throw off your hormones, leading to unpredictable periods or even causing them to stop entirely (9,13)

Sodium valproate decreases both carnitine absorption and endogenous carnitine production low carnitine is associated with increased risk of hyperammonaemia