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Metformin can interfere with B12 absorption, which can lead to low levels of B12 over time

This happens because when you stop the treatment, the effects of medication, such as reduced appetite and slower digestion, gradually fade and lead to an increase in hunger cravings and higher calorie intake

Medicines containing probenecid or sulfinpyrazone may prolong the excretion of diclofenac The absorption of vitamin b 12 in the gastrointestinal tract is reduced by the administration of the following drugs: aminoglycosides, colchicine, extended release potassium, aminosalicylic acid and its salt, anti-convulsive agent (phenytoin, phenobarbital and primodone), cobalt radiation in the small intestine and by excessive intake of alcohol for more than 2 weeks

Some fortified cereals and nutritional yeasts also contain B12 Conclusion B12 injections can be a valuable tool for addressing B12 deficiency and improving overall health