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Potential symptoms may include: Patients experiencing persistent symptoms should consult their healthcare provider to determine whether dosage adjustments, medication interactions, or unrelated health issues may be contributing factors

Two practical consequences fall out of this mechanism, and both explain the shape of the protocol below

Further, long-term use of acid-reducing drugs and the anti-diabetes drug metformin and repeated exposure to nitrous oxide have been implicated in vitamin B 12 deficiency (see Drug interactions)

This means you can feel the effects of the vitamin B12 shot for up to a month

In that case, its advisable to consider an evaluation of your Vitamin B12 levels by one of our experienced Naturopathic Doctors