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Quick Take 2: Too much B12 in supplements can interfere with metformin, anti-seizure drugs, proton pump inhibitors like omeprazole, and some antibiotics like tetracycline

The volume is small (typically 12 mL) and the process takes seconds

This section will explore how interactions with certain substances and lifestyle factors may influence ones reaction to a B12 injection

In addition, if you're one of the millions of Americans taking proton pump inhibitors (PPIs) that suppress stomach acid for conditions like acid reflux, you're going to be prone to vitamin B12 deficiency

Geriatric The metabolism rate in older patients (75-79 years) is reduced

Acta Endocrinol (Copenh)