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Some medications to watch out for include: Medications for diabetes: Medications used to treat type 1 or type 2 diabetes, including insulin or sulfonylureas (such as Amaryl or Glucotrol XL) Other oral medications : Zepbound causes a delay in gastric emptying, so it has the potential to impact the absorption of medications that are taken by mouth at the same time

It is common to have B12 MIC injections monitored and supervised by a physician to ensure the appropriate quantity and frequency of the injections are maintained

Standard protocols often begin with loading doses followed by maintenance injections

Without the B12 and iron, Im really tired. Vitamin B12, while only rarely used alone, may be part of a supplement regimen that can help you feel better

Proton pump inhibitors reduce gastric acid production, which impairs the release of food-bound B12 but has less effect on synthetic B12 in supplements

Serum vitamin B12 levels and glycemic fluctuation in patients with type 2 diabetes mellitus