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Those who follow a vegetarian or vegan diet are particularly prone to vitamin B-12 deficiency, as are those with a condition known as Pernicious anemia which affects B-12 absorption in the gut

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Can B12 help with neuropathy

Heart problems in people with heart conditions People with allergies or heart issues should tell their doctor before getting B12 shots

Potential interactions include: Metformin (used for type 2 diabetes) Proton pump inhibitors (PPIs) and H2-receptor antagonists (used for acid reflux) Colchicine (used for gout) Nitrous oxide (anaesthetic gas that can inactivate B12) Chloramphenicol (may reduce the haematological response to B12 therapy) If you take any of these medications long-term, discuss B12 monitoring with your healthcare provider

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