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Description

To avoid any serious interactions, they may recommend specific dosage amounts or suggest taking medications and B12 supplements at different times

But it comes with important caveats: lack of FDA approval, variability risks, and transitional regulatory changes

Patients are often advised to eat small, frequent meals throughout the day because of changes in digestion and absorption after gastrectomy

[62] [63] The mechanism of action is straightforward: the hydroxycobalamin hydroxide ligand is displaced by the toxic cyanide ion, and the resulting non-toxic cyanocobalamin is excreted in urine