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Aminoglycosides, tetracyclines, and certain other antibiotics may alter gut microbiota composition, potentially affecting the small amount of vitamin B12 that is produced by colonic bacteria, though this is generally not clinically significant for patients receiving injectable B12 supplementation

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Monthly Plans Supply ~5 weeks per vial Details An excellent option for patients who prefer a lower upfront cost or who wish to assess their response to a specific formulation before committing to a longer supply

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