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All dosing described here documents a research protocol, not a prescription or personal recommendation

This provides sustained energy levels compared to short-lived boosts from supplements

Diarrhoea (defined as three or more loose or watery stools per day) is an uncommon side effect of vitamin B12 supplementation , though it is listed as a rare or uncommon adverse reaction in the official product information for both oral cyanocobalamin and injectable hydroxocobalamin preparations

Interactions with medications Some medications can interfere with vitamin B12 malabsorption: Metformin Medication for reflux eg Omeprazole (Losec), Pantoprazole (Somac), Esomprazole (Nexium) Cimetidine and Ranitidine Neomycin If youre starting metformin or youve been taking it and still feel unsure about it Dr Sultan has created this clear, practical guide to help you understand what its doing and what to expect

0pubmed Fetoni AR, De Bartolo P, Eramo SL, et al