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(2014) Meta-analysis of methylcobalamin alone and in combination with prostaglandin E1 in the treatment of diabetic peripheral neuropathy

Medications- Certain medications, such as proton pump inhibitors and metformin, can interfere with B12 absorption, leading to deficiency over time

These kits typically include vials of B12 solution, syringes, and detailed instructions for self-administration

In terms of GI side effects, nausea is very common, but it can also cause constipation, diarrhea, vomiting, and dry mouth

(1) Nascobal Dosage and Administration Prior to treatment, obtain hematocrit, reticulocyte count, vitamin B12, folate, and iron levels