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Before we get into the mechanics, let's quickly touch on why this is all so important

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Interactions with drugs: Chloramphenicol can impede on the red blood cell producing properties of B12 Other drugs that decrease or reduce absorption of B12: antibiotics, cobalt irradiation, colchicine, colestipol, H2-blockers, metformin, nicotine, birth control pills, potassium chloride, proton pump inhibitors such as Prevacid, Losec, Aciphex, Pantaloc, and Zidovudine

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But the supplements should be taken in moderation

These parameters of hemogram were indicative of macrocytic anemia