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You do not need intrinsic factor

Combined with TENS therapy, I feel blessed to be able to work out again." Disclaimer: These testimonials reflect individual experiences and are not a substitute for professional medical advice

Certain people are at greater risk for deficiency because of things like diet, lifestyle, and prescription medications

Most possible side effects are GI related, including nausea, diarrhea, vomiting, decreased appetite, & abdominal discomfort

Patients should avoid ingesting large amounts of vitamin C within 1 hour of oral vitamin B12 administration Extended release potassium products Antibiotics such as gentamicin, neomycin, tobramycin Anti-seizure medications such as phenobarbital, phenytoin, primidone Medicines used to treat heartburn like H2 blockers such as cimetidine and proton pump inhibitors such as omeprazole Antacids such as ranitidine, cimetidine Vitamin B12 Injection Storage and Safety Information Vitamin B12 tablets should be in a cool and dry place

Patients might need supplements for these vitamins