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18 Prevention Because of potential interactions from prolonged medication use, physicians should consider screening patients for vitamin B 12 deficiency if they have been taking proton pump inhibitors or H 2 blockers for more than 12 months, or metformin for more than four months

Cyanocobalamin can lead to optic nerve damage and possibly blindness in people with Lebers disease

If you are over age 50, you should aim to eat around 3-5 micrograms per day, while pregnant or breastfeeding women should consume 2-3 micrograms a day

To maintain optimal B12 levels, regular injections may be necessary, typically every few weeks or months