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(2) Intramuscular injection can cause local pain
People Taking Certain Medications Long-term use of metformin (a common diabetes medication) and proton pump inhibitors (PPIs) like omeprazole can reduce B12 absorption over time

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It is also important to be cautious of medication interactions

I was doing donkey rides with someone for work, and walking over 15 - 20 miles at weekends was giving me relief

Nicotinamide riboside opposes type 2 diabetes and neuropathy in mice
