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But these don't happen to everyone

Drug Interactions Metformin, proton pump inhibitors, and other drugs can affect or be affected by B12 status

Where appropriate, the clinician will use this period to finalise the patients individual treatment plan and arrange the prescription or procurement of any medicines or medical products required.To maintain product quality and medicines safety, many clinical products are ordered specifically for confirmed treatment plans rather than held in large quantities

[It] does not show what happens to patients after stopping these medications or titrating down to a maintenance dose

MetS: metabolic syndrome

Methylcobalamin is an active, highly bioavailable form of B12 that supports energy metabolism and nerve function, both of which can be affected during periods of significant dietary change