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Adenosylcobalamin : Helps support cellular energy production and mitochondrial function

These injections are particularly advantageous for those with B12 deficiencies, individuals seeking to amplify their energy and stamina, and anyone desiring to enhance their overall health

Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65

In an emergency, follow these suggestions: If the person is unconscious, breathing less than eight times a minute, or has repeated, uncontrolled vomiting, call 911 immediately

Besides, there may be other causes