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Vitamin B12 Medicine Interactions Chloramphenicol: bacteriostatic antibiotic can interfere with red blood cell response to supplemental Vit B12 Proton pump inhibitors: omeprazole and lansoprazole, etc., slow gastric acid release and may interfere with VIt B12 absorption from food H2-receptor antagonists: cimetidine, famotidine and ranitidine slow the release of hydrochloric acid into the stomach and interfere with Vitamin B12 absorption from food Metformin: might reduce absorption of Vitamin B12 due to altered intestinal motility, increased bacterial overgrowth, etc

Fischer has over 25 years of experience as a physician and is registered with the Florida Board of Medicine, specializing in Obstetrics & Gynecology

S.MafongelliE.MannocciA.et al (2014)

If your heart palpitations are mild and only occur occasionally, they may decrease as your body adjusts to the medication, Dr