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Before beginning any program that includes prescription medication, our medical providers conduct a comprehensive evaluation that may include: Health history review Medication review Risk assessment Discussion of potential side effects Ongoing monitoring during treatment Providers may adjust or discontinue medications depending on individual response and medical considerations

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Youre on a medication that limits B12 absorption A wide range of common meds can mess with your bodys ability to absorb vitamin B12 including Antibiotics such as neomycin Diabetes medications such as metformin Gastric acid inhibitors such as the proton pump inhibitors omeprazole (Prilosec) and lansoprazole (Prevacid) Antihistamines and antacids such as cimetidine (Tagamet) and ranitidine (Zantac) 5