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Another class of gastric acid inhibitors known as histamine 2 (H 2 )-receptor antagonists (e.g., cimetidine, famotidine, and ranitidine), often used to treat peptic ulcer disease, has also been found to decrease the absorption of vitamin B 12 from food

The cycling protocols commonly recommended are partly based on this theoretical concern, though actual tolerance development has not been documented

Researchers must also factor in the requirement for reconstitution with sterile diluents like Bacteriostatic Reconstitution Water and proper storage protocols

Bring recent lab results If your B12 levels are lowespecially below 300 pg/mLbring the test results to your appointment