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General precautions: Always take it under doctor's supervision Tell your doctor if you're pregnant or breastfeeding Don't skip doses randomly, consistency matters Store tablets away from heat and moisture Medical conditions to mention: Kidney disease Any ongoing allergy history Leber's disease (a rare eye condition, B12 can worsen it) Drug interactions: Some antibiotics and metformin can reduce B12 absorption Always share your full medicine list with your doctor When to Consult a Doctor

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Proton pump inhibitors like omeprazole reduce stomach acid dramatically

This is reflected in guidance from the British Obesity and Metabolic Surgery Society (BOMSS)

To learn about staying safe, you can check out more about B12 shot safety