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Proper storage and handling will help maintain hydroxycobalamins effectiveness throughout your treatment course

Always keep the medication out of reach of children and discard any unused portion after the recommended period, in accordance with safe disposal guidelines

Li X, et al

Similarly, if you use proton pump inhibitors or H2 receptor antagonists for acid reflux or peptic ulcers, your stomach acid levels may decrease, making it harder for your body to absorb B12 from your diet

NAD+ Metabolism in Cardiac Health, Aging, and Disease

This can be helpful for people who have absorption challenges or confirmed deficiencies