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Vitamin B 12 deficiency and neuropsychiatric illness Neuropsychiatric manifestations in the absence of haematological abnormalities are commonly seen in the elderly.2 50 These include paraesthesia, weakness, gait abnormalities, and cognitive or behavioural changes

Metformin (for diabetes), proton pump inhibitors (such as omeprazole or esomeprazole), and H2 blockers (such as famotidine) can all reduce B12 absorption over time

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Chris: Youre basically saying the supply chain, whether its people or whether its products, all of the same principles apply and you are managing cost, quality

Forms of B12 Used in Compounded Formulations Two forms of B12 appear most commonly in compounded semaglutide preparations