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The drug interactions to know include acid reducers like famotidine, antibiotics like amoxicillin, and proton pump inhibitors like omeprazole

gradual titration reduces incidence [1] [5]
Researchers often study it in lab work on Nicotinamide N-Methyltransferase (NNMT)

Vigorous vortexing or prolonged sonication can introduce air bubbles or promote aggregation
Whether short term or long, being on B12 might be easier for you if you learn how to self inject B12 and handle at home injections yourself
