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doi:10.1080/10408398.2018.1511967

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Aminoglycosides, tetracyclines, and certain other antibiotics may alter gut microbiota composition, potentially affecting the small amount of vitamin B12 that is produced by colonic bacteria, though this is generally not clinically significant for patients receiving injectable B12 supplementation

Additionally, B12 injections can aid in the production of red blood cells, promoting healthy circulation and helping to prevent anemia, which supports cardiovascular health and mental clarity