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Medications like omeprazole, cimetidine, lansoprazole, and folate can interfere with B12 absorption

doi: 10.1111/j.1469-8137.2008.02531.x 17 FoyerC

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Most patients experience no adverse effects, and when present, theyre typically mild and transient including temporary digestive changes as the gut adjusts, minor nausea (usually resolving within days), or altered bowel patterns during initial therapy

NZ J Bot 6:2532