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Drugs that decrease or reduce absorption of B12: antibiotics, cobalt irradiation, colchicine, colestipol, H2-blockers, metformin, nicotine, birth control pills, potassium chloride, proton pump inhibitors

Throughout this period, the favorable safety profile remained consistent with no delayed-onset adverse effects or concerning laboratory changes emerging over time

However, the expert consensus for standard treatment in the is to begin parenteral treatment with United Kingdom

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Low levels may lead to symptoms such as low mood, fatigue, and difficulty concentrating