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While this interaction primarily affects dietary B12 absorption rather than injected cyanocobalamin, patients on long-term acid suppression therapy may have depleted B12 stores that require consideration when initiating treatment

So, for people with normal B12 concentrations, we recommend the MIC combo which has: Methianine, Inositol and Choline: Amino acids that aid in the maintenance of muscle tissue Vitamin C to boost immune system and skin health Methylcobalamin, pyridoxine, niacin, riboflavin and thiamine, which are B vitamins that help prevent fatigue while you are on a calorie restricted diet

Storage Instructions Store in a cool, dry place

Pregnancy and lactation are typically considered contraindications unless specifically approved by obstetric care