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Probiotics: Supporting gut health can indirectly benefit B12 absorption

Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team

Below is a quick recap of the main procedures and some final tips to help reinforce earlier guidelines

How often should B12 injections be administered for maintenance therapy