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These include metformin use for type 2 diabetes the MHRA advised in 2022 that people on long-term metformin should have their B12 levels monitored long-term proton pump inhibitor (PPI) medications for reflux, vegetarian or vegan diets, and conditions affecting absorption such as pernicious anaemia or coeliac disease
They are not approved for human or animal use of any kind
5-Amino-1MQ is a synthetic compound currently being studied for its interaction with an enzyme called NNMT (nicotinamide N-methyltransferase)
Shellfish also have B12, including clams, shrimp, and raw oysters
He exhibited clinical and hematologic recovery with complete resolution of thrombosis in the outpatient setting
You can learn more in our guide: Home Sweet Injection: How to Safely Give Yourself a B12 Shot
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