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Juices to Avoid Juices that contain a lot of acid that can aggravate GERD are: Citrus juices (orange, grapefruit, lemon, lime) (pH of citrus juices is approximately 2.0-3.0) Tomato juice (pH of the juice = 4.0, however, irritating because of the presence of other compounds) Pineapple juice (pH ~3.5) Cranberry juice (pH ~2.5,3.0) Tips for Choosing and Consuming Low-Acid Juices Check Labels: Choose 100 per cent juice with no sugar addition, citric acid or artificial additives such as in the Tropicana Pure Premium Low Acid

But starting treatment can change how your body uses it

Taking 2mg or less a day of vitamin B12 in supplements is unlikely to cause any harm.

Older adults naturally absorb B12 less efficiently as we age