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There could be a few causes: Temporary Adaptation Dr

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Vitamin B12 can interact with medications such as colchicine (a medicine used to treat gout), metformin (an anti-diabetic agent), excessive alcohol, vitamin C products, extended release potassium products, antibiotics such as gentamicin, neomycin, tobramycin, anti-seizure medications such as phenobarbital, phenytoin, primidone, medicines used to treat heartburn like H2 blockers such as cimetidine and proton pump inhibitors such as omeprazole, antacids such as ranitidine, cimetidine

They bind to specific receptors on cell surfaces to trigger targeted biological responses

Combined application with other therapies: When combined with exercise, it can enhance the lipolysis induced by exercise and improve the efficiency of fat loss