Certain medications may make it harder for your body to absorb B-12, including: Acid reflux and peptic ulcer disease medications, including: famotidine (Pepcid AC) lansoprazole (Prevacid) omeprazole (Prilosec) Metformin (Glucophage, Glumetza), a common type 2 diabetes treatment chloramphenicol, an antibiotic Very low levels of vitamin B-12 can result in serious complications, including anemia
What about other options
Lipotropic injections are generally not recommended during pregnancy or breastfeeding, for people with a known allergy to any component of the formulation (including B12/cobalt), for those with certain kidney or liver conditions, or for those with certain medical conditions
One moderate interaction to note is that oral B-complex vitamins, including riboflavin, can interfere with the absorption of tetracycline antibiotics if taken simultaneously
Does elevated vitamin B12 always point to an underlying medical condition
Delivery fees and expected delivery time The most economical shipping available is Economy 3.49 (3-7 days delivery) Need it sooner