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Long-term metformin or proton pump inhibitor (PPI) users These medications can interfere with B12 absorption over time
This is especially important for those who may have difficulty absorbing nutrients due to digestive issues, certain medical conditions, or simply because of age-related changes
This depends on your individual situation
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Key considerations include: Always check the strength on the product label
Optic nerve atrophy can worsen in patients whose methylcobalamin levels are already elevated
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