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Some medications also reduce B12 absorption (Sobczyska-Malefora et al., 2021) among the main ones are: metformin, proton pump inhibitors (PPIs), such as omeprazole, lansoprazole and esomeprazole, and H2-receptor antagonists, such as ranitidine, cimetidine, famotidine and nizatidine

However, further studies are still needed to optimize its clinical application, including dosage form improvement, combination therapy strategies and long-term safety assessment

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Headache: Headaches are a less common side effect of vitamin B12 injections but can occur in some individuals

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If you ever experience a severe or urgent medical emergency , such as difficulty breathing or intense pain, go to the nearest emergency room or call 911