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[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency

Tracking this number monthly shows whether shedding is decreasing, stable, or increasing

MEDICINSKI GLASNIK , 10(2), 203-210
The B12, whether methylcobalamin or cyanocobalamin, goes into the muscle and into your system without depending on a digestive step that may not be working well for you
