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In Liverpool, you can get private B12 injections at Orrell Park Pharmacy without waiting months for a GP appointment

I think it's hopeful that GP is considering more injections

Each vial undergoes visual inspection for particulates and container integrity

Some medications also reduce B12 absorption (Sobczyska-Malefora et al., 2021) among the main ones are: metformin, proton pump inhibitors (PPIs), such as omeprazole, lansoprazole and esomeprazole, and H2-receptor antagonists, such as ranitidine, cimetidine, famotidine and nizatidine

None had a placebo control group

At 5mg/ml : each unit contains 0.05mg (50mcg) of tirzepatide