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Once hydroxocobalaminthe form most commonly used in the UKis injected intramuscularly, it rapidly enters the bloodstream, bypassing the gastrointestinal tract entirely

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Am Fam Physician (2003) 67(5):97986

People Taking Certain Medications Long-term use of metformin (a common diabetes medication) and proton pump inhibitors (PPIs) like omeprazole can reduce B12 absorption over time

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