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Individuals Taking Certain Medications: Some medications, like proton pump inhibitors (PPIs) for acid reflux or metformin for diabetes, can interfere with B12 absorption

We recommend having your Vitamin B12 Levels checked before beginning treatment (Vitamin B12 blood test available here)

If undissolved material remains, return the vial to 2 to 8 degrees Celsius for 10 to 15 minutes and swirl again

PMID 21623471

excessive intake of vitamin B12 can potentially lead to nerve damage or disrupt the balance of other essential nutrients in the body

I found a sea shell and gave it to my 4 year old daughter and said You can hear the ocean if you put this to your ear. She put the shell to her ear and screamed