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Patients should avoid ingesting large amounts of vitamin C within 1 hour of oral vitamin B12 administration Extended release potassium products Antibiotics such as gentamicin, neomycin, tobramycin Anti-seizure medications such as phenobarbital, phenytoin, primidone Medicines used to treat heartburn like H2 blockers such as cimetidine and proton pump inhibitors such as omeprazole Antacids such as ranitidine, cimetidine Vitamin B12 Injection Storage and Safety Information Vitamin B12 tablets should be in a cool and dry place

NICE guidance acknowledges that response to treatment varies between individuals

Some people notice improved energy within a few days, while others may take longer depending on their B12 levels

The study by Neelakantan et al

Research Applications Storage and Handling Store lyophilized 5-Amino-1MQ at -20C, protected from light and moisture