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[106] Other drugs [edit] Certain medications can decrease the absorption of orally consumed vitamin B 12 , including colchicine, extended-release potassium products, and antibiotics such as gentamicin, neomycin and tobramycin

Amazon and other online retailers sell bacteriostatic water

The pale color does not indicate less effectiveness

NICE guidance suggests considering B12 status assessment in older adults presenting with cognitive decline, unexplained anaemia, or neurological symptoms

Not directly, but the mechanisms of GLP-1 therapy, including slowed gastric emptying and significantly reduced food intake, create conditions that increase B12 deficiency risk over time