Vitamin B12 can interact with medications such as colchicine (a medicine used to treat gout), metformin (an anti-diabetic agent), excessive alcohol, vitamin C products, extended release potassium products, antibiotics such as gentamicin, neomycin, tobramycin, anti-seizure medications such as phenobarbital, phenytoin, primidone, medicines used to treat heartburn like H2 blockers such as cimetidine and proton pump inhibitors such as omeprazole, antacids such as ranitidine, cimetidine
Product Recommendations Vitamin B12 for MTHFR: Injection or Sublingual
Common causes include liver disease (which releases stored B12), kidney disease (reducing B12 clearance), haematological malignancies, solid tumours, and excessive supplementation
The following are the critical aspects of treatment: Vitamin B12 supplementation: Vitamin B12 supplementation is the cardinal therapeutic measure
It is particularly common among older demographics, where skin becomes less effective at producing Vitamin D, or among people with darker complexions