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This is thought to be due to hormonal changes, hemodilution (more fluids in your circulatory system), and an increased transfer of vitamin B12 from mother to baby

Interactions with medications Some medications can interfere with vitamin B12 malabsorption: Metformin Medication for reflux eg Omeprazole (Losec), Pantoprazole (Somac), Esomprazole (Nexium) Cimetidine and Ranitidine Neomycin If youre starting metformin or youve been taking it and still feel unsure about it Dr Sultan has created this clear, practical guide to help you understand what its doing and what to expect

a mild stinging sensation may occur due to the quinolinium structure

It is not necessary to withhold vitamin B12 therapy until the precise cause of B12 deficiency is established since absorption studies can be performed at any time