Too much doesn't necessarily work better and increases side effect risk
Vitamin B12 is water soluble, so it is a very safe medication
Store B12 Vial, and supplies in a cool dark place such as a cabinet Step 8
So, we recommend using SL vitamin B12 rather than oral and IM, especially in patients who do not tolerate IM injection and patients who need prolonged vitamin B12 supplementation, such as patients with long-term metformin use and patients with pernicious anemia or with gastro-duodenal resection [51,52,53,54]
Walk-ins welcome, appointments preferred
A recent systematic review and meta-analysis of 25 observational studies found proton-pump inhibitor use was associated with a small increased risk of vitamin B 12 deficiency