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Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)

Other immunization procedures should not be undertaken in patients who are on corticosteroids, especially in high doses, because of possible hazards of neurological complications and lack of antibody response

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Independent, third-party testing for identity and purity is the standard that separates a medical-grade compound from a bag of powder with a label