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Not without consulting your healthcare provider

metabolism, cellular methylation, mitochondrial physiology, energy regulation, and metabolic signaling

ACS Nano 9 , 54615469 (2015)

Seay et al

Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)

Neurological assessments, such as evaluating pupil size and reactivity, are also critical, as they reveal signs of increased intracranial pressure or impending herniation