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The Cleveland Clinic reports that 15% of adults over 60 have B12 deficiency, yet many experience unexplained fatigue, pale skin, and rapid heartbeat that doctors often dismiss as stress
Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65
They may also be helpful for people whose diets have changed significantly, especially if they are eating fewer animal-based foods or following a reduced-calorie plan that limits certain nutrients
His B12 injections were restarted, but unfortunately, this was without any effects on his symptoms
This educational protocol presents a subcutaneous injection approach to maximize bioavailability from the 10 mg vial format
