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Statins: Medications like simvastatin or atorvastatin used for cholesterol control may interact with I VIT 12 COMBINATION PACK INJECTION 2.5ML

Reduced stomach acid production (achlorhydria or hypochlorhydria) impairs the release of B12 from food proteins, though absorption of synthetic B12 from supplements or fortified foods remains intact

Methylation reactions are essential for the metabolism of components of the myelin sheath of nerve cells, as well as for synthesis and metabolism of neurotransmitters (22)

The patient-reported benefit is real but confounded