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Description
Avoid heavy caffeine or alcohol use, which can interfere with the medication's effects and worsen fatigue
By slowing gastric emptying, it reduces the time stomach acid has to work on B12-protein bonds

What this means going forward: For compounding pharmacies: The regulatory landscape is evolving in real time

[DOI] [PubMed] [Google Scholar] 210.Schmeing TM, Huang KS, Kitchen DE, Strobel SA, Steitz TA