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Oral Supplements Oral B12 supplements are convenient and effective for many patients, especially those with low B12 intake due to dietary choices (e.g., vegetarians or vegans), older adults, or those with no significant absorption issues

That bleeding advantage disappears when strong dual inhibitors of CYP3A4 and P-gp (ketoconazole, ritonavir, clarithromycin) are co-administered, as apixaban exposure can increase by up to 100% [1]

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How to Monitor and Adjust Your Schedule as You Go Your B12 plan isnt set in stone