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The gray market alternative is not a neutral status quo

They may suggest adjustments to your dosage or explore alternative treatments

Patients should also be aware that certain medicationssuch as proton pump inhibitors (PPIs) and metformincan interfere with B12 absorption, though this is less relevant once on injection therapy

Ascorbic Acid (Vitamin C) Injection is primarily used to treat or prevent vitamin C deficiency in patients unable to take oral supplements, or in clinical situations where higher plasma concentrations are required, such as certain infections, wound healing, or adjunctive therapy in specific protocols

Lancet

And while eating B12-rich foods and take oral supplements can boost your levels, vitamin B12 injections are an increasingly popular way to supplement