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Patients taking certain medications (e.g., chloramphenicol may reduce the effectiveness of B12 therapy) or with risk factors for B12 deficiency (metformin use, proton pump inhibitors, nitrous oxide exposure, vegan diet) should discuss these with their healthcare provider

In most cases, you can get enough vitamin B12 through your diet, particularly if you eat animal-based foods

We've seen this happen time and again

Every reconstitution event carries a small risk of contamination or measurement error, so fewer events means more consistent results across your protocol

If you are vegetarian or elderly, consider regular B12 testing