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[106] Other drugs [edit] Certain medications can decrease the absorption of orally consumed vitamin B 12 , including colchicine, extended-release potassium products, and antibiotics such as gentamicin, neomycin and tobramycin

People with Certain Medications: Long-term use of medications like proton pump inhibitors or metformin can interfere with B12 absorption, leading to a deficiency

Moreover, excessive alcohol consumption elevates your blood pressure and makes your circulatory system deliver essential nutrients to your body much less efficiently

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