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Some older researchers report dramatic results at doses that produce subtle effects in younger users

Dinh Tran, MD , at Family Health Care Shoreline, offers personalized B12 injection therapy tailored to your specific health needs

2019 Nov 22 [cited 2021 Dec 1]

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