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Special Dosing Considerations for Specific Populations When giving Vitamin B12 injections, its key to think about different patient groups

Avoid hot drinks until temperature perception normalizes

If you take both metformin and tirzepatide, your risk of B12 deficiency is compounded (no pun intended)

Your stomach acid, liver enzymes, and intestinal barriers all take their toll, breaking down much of the NAD+ before it ever reaches your cells