Medications that reduce absorption of B12 metformin (for diabetes) and antacids (that reduce the amount of stomach acid) are the main ones
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In blood plasma, it binds to proteins by 50-80%, is metabolized in the liver, and excreted after 4-5 hours by the kidneys, mainly in the form of metabolites
This should be discussed as nutrient support, not as a claim that injections address liver conditions
Uncommon but notable adverse effects include: Hypokalaemia (low potassium) can occur during initial treatment of severe megaloblastic anaemia, as rapid cell production consumes potassium
With a vitamin b12 deficiency, dermatologic issues can arise such as hyperpigmentation and inflammation