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[11] Long-term metformin therapy reduces calcium-dependent intrinsic-factor binding, lowering B12 absorption and potentially necessitating higher or more frequent parenteral doses

Ginger tea, ginger candies, and ginger supplements have clinical evidence supporting their anti-nausea effects

This is because their bodies make less of a key helper for B12 and absorb it less well

Fatal hypokalemia may occur when severe megaloblastic anemia is treated intensively with vitamin B12, as a result of increased erythrocyte potassium requirements

Some individuals report a sensation of body swelling or warmth, but these symptoms typically resolve on their own within a few hours

your AgelessRx provider will take 1-2 days to review your request and send to our partner pharmacy, who will take an additional 2-3 days to process