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Additionally, some practitioners may include other beneficial substances such as zinc, which plays a crucial role in immune function, or glutathione, known for its powerful antioxidant properties

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Long-Term Medication Users Medications such as metformin (used for diabetes) and proton pump inhibitors (used for acid reflux) can interfere with B12 absorption when taken long term, making supplementation necessary

[10] [12] Tolerance: Alpha-lipoic acid is considered to be relatively well-tolerated in most adults

It is indicated for intramuscular or deep subcutaneous use to treat vitamin B deficiencyoften seen in pernicious anemia or malabsorption syndromes

& Taher, A
