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Metformin (for diabetes), proton pump inhibitors (such as omeprazole or esomeprazole), and H2 blockers (such as famotidine) can all reduce B12 absorption over time

Many areas have drop-off sites, mail-back programs, or special waste pickup services

Repeat once or twice weekly if necessary, under veterinary guidance

For example, a doctor might prescribe the following: 100 micrograms daily for about a week Followed by every other day for seven doses After that, every three to four days for two to three weeks Once monthly until the deficiency is treated B12 injections require a prescription and can be administered at a doctor's office or at home with the approval of a healthcare provider

The therapy is approved by the FDA and produced under strict quality control

2007;293:E2039