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Interactions: Inform patients that certain drugs (antibiotics, methotrexate) can affect B12 testing, but generally B12 injections have no major drug interactions

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Practical Tips for Everyday Storage Safety There is no special equipment or advanced tools needed to have safe storage

The standard schedule is a starting point, not a strict rule The 2024 NICE guideline NG239 on B12 deficiency in over 16s makes an important point: the optimal route, dose and frequency of B12 replacement have never been firmly established, and have often followed custom and historical practice

Its naturally available from animal products, including fish, meat, poultry, eggs, milk, and milk products but its not usually present in plant foods