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Common Side Effects The most frequently reported side effects are injection site reactions

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Therefore, since omeprazole only impairs the absorption of protein bound vitamin B12 from animal-derived dietary sources, the use of free or unbound vitamin B12 (such as cyanocobalamin) are not affected and can be safely used to correct the vitamin B12 deficiency especially if the patient cannot stop taking the omeprazole

For some unknown reason, many, perhaps most, doctors seem to display a pathological resistance to adequate treatment of B12 deficiency, and fight patients tooth and nail on this matter