In facility settings, the physician bills the E/M only
Full prescribing information, including contraindications and interactions, is available in the electronic Medicines Compendium (emc) SmPC for omeprazole
However, it doesnt absorb well, and requires a methyl donor (a natural antidote and an antagonist for toxins) to detoxify it before it can convert to one of the useful forms of B12
Blood levels peak around age 20 at approximately 200 ng/mL and decline to roughly 80 ng/mL by age 60, correlating with diminished skin elasticity and regenerative capacity
Evidence comparing these different routes of supplementation show them to be equally effective so people can choose whichever they find most convenient.
Oral B12 vitamins rely on your stomachs acidity and intrinsic factor for absorption, which can be variableespecially if you have gut issues or take acid-blocking medications