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Vitamin B12 is a nutrient that your body doesn't make, so you have to get it from animal products, such as meats, dairy, and eggs, or from supplements

In terms of dosage, most adults require 2.4 mcg of vitamin B12 per day

In the event of prolonged treatment, the reduction of stomach acidity by these drugs may reduce the digestive absorption of vitamin B12

Switch to a non-oral contraceptive method, or add a barrier method of contraception for 4 weeks after starting medication and for 4 weeks after each dose escalation until you reach a maintenance dose

All of our patients are encouraged to speak with our medical professionals before beginning a regimen of Vitamin B12 injections