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The right type depends on the patients health, how severe their deficiency is, and the doctors advice
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Having said that some patients do get a paradoxical response to B12 and present with fatigue, headaches, and flu-like symptoms
This two-part approach helps doctors see if the treatment is working
Some of those include metformin which is used in type 2 diabetes, heartburn medications that alter the production of stomach acid such as PPIs or H2 blockers, and oral contraceptives
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