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Medications including metformin, proton pump inhibitors, and H2-receptor antagonists may reduce absorption of B12, potentially prolonging the time to clinical improvement

Step 8: Continuous Monitoring and Integrative Care Regular monitoring of hemoglobin levels, iron status, and organ function remains essential

Vitamin B12 also plays a key role in DNA synthesis, supports cell growth and repair, and contributes to energy metabolism

Because of this, maintaining adequate B12 levels is an important part of overall health