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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
For intramuscular injections, press on and pull your skin so that it is taut
For B12 injections, gauges between 22 and 27 are typically used
What changes is the added B12 support and, in some cases, the overall experience
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