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[102] Drug interactions [edit] H 2 -receptor antagonists and proton-pump inhibitors Gastric acid is needed to release vitamin B 12 from protein for absorption

Laboratory Testing Before starting Vitamin B12 injections, laboratory testing is often recommended to determine your baseline B12 levels and to monitor your progress

Pernicious anemia , where the body cant absorb B12, is a main reason

[18] Cyanocobalamin is the most common form used in dietary supplements and food fortification because cyanide stabilizes the molecule against degradation

The compound is most often taken with meals, as this may improve absorption and reduce the likelihood of gastrointestinal discomfort