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National Institutes of Healht

The use of proton pump inhibitors (PPIs) has been associated with an increased risk of vitamin B12 deficiency, particular in older adults and those on long-term PPI therapy. Nutrition Reviews Duration-Dependent Risk Assessment The risk of B12 deficiency from PPIs grows with time

This helps prevent these types of issues

Oral supplements, on the other hand, are more like sprinkling water on the leavessome of it gets in, but a lot might not make it

Starting with this data gives providers something to compare against later and makes it easier to adjust your dose safely

Oral supplements may be sufficient if youre maintaining good health and prefer a daily routine