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RBC, red blood cell References Scala A, Checchi L, Montevecchi M, Marini I, Giamberardino MA

Development of predictive biomarkers and improved formulations would also advance clinical applications

Potential interactions include: Metformin (used for type 2 diabetes) Proton pump inhibitors (PPIs) and H2-receptor antagonists (used for acid reflux) Colchicine (used for gout) Nitrous oxide (anaesthetic gas that can inactivate B12) Chloramphenicol (may reduce the haematological response to B12 therapy) If you take any of these medications long-term, discuss B12 monitoring with your healthcare provider

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Alcohol can affect the absorption levels of B12 and therefore should be avoided for at least 24 hours for best results