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These include: Metformin (used for diabetes or PCOS) Proton Pump Inhibitors (used for acid reflux or GERD) H2 Blockers Birth control pills Certain antibiotics If youre taking these medications long-term, particularly in combination, regular B12 injections might be beneficial

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Sufficient B12 is important for maintaining cognitive health and preventing various forms of cognitive impairment
doi: 10.1016/j.bpsc.2021.05.002