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Many people particularly those over 50, those with gastrointestinal conditions, or those taking certain medications like metformin or proton pump inhibitors have impaired intrinsic factor production and absorb far less B12 from supplements than labels suggest

You may need to adjust the needle tip a few times so that you can draw up all of the medication in the vial

From acid suppression and antiemetics to laxatives and inflammatory bowel disease therapies, having a clear understanding of these medications can help build a stronger foundation for both exams and clinical practice

Set up a work space As noted above, its best to apply poly outside or in a very well ventilated work area if you cant be outside

So dont be afraid to take moderate to high doses of vitamin B12