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Vitamin B12 may reduce the effectiveness of some chemotherapy drugs, such as methotrexate or 5-fluorouracil, and may also be impacted by medications like metformin, proton pump inhibitors (PPIs), and certain antibiotics (e.g., chloramphenicol)

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This therapy is commonly used to support immune function, recovery, and overall wellness, especially during periods of increased physical or environmental stress

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In fact, injections and infusions may be more beneficial for people deficient in B12 due to a digestive issue or because they are older and have less stomach acid