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These include: Metformin (used for diabetes or PCOS) Proton Pump Inhibitors (used for acid reflux or GERD) H2 Blockers Birth control pills Certain antibiotics If youre taking these medications long-term, particularly in combination, regular B12 injections might be beneficial

Plus, alternatives for treatment if your protocol was impacted

Browse all injection guides for supply terminology, syringe markings and disposal basics

The fall is unlikely to indicate true depletion because holoTC does not change and serum B12 concentrations recover by 14 wk postpartum (245)

For all practical lab calculations, you can assume the final volume of the solution is equal to the volume of the bacteriostatic water you added