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If you are taking other supplements, medication, or other injections to help with weight loss or improving physique, it is best to discuss the use with your doctor so as to ensure the safest administration of the AOD 9604

About Miraleen Patel, APRN, FNP-C As a Family Nurse Practitioner specializing in hormone optimization, weight management, primary care, disease prevention, health promotion, and functional medicine

Potential interactions include: Metformin (used for type 2 diabetes) Proton pump inhibitors (PPIs) and H2-receptor antagonists (used for acid reflux) Colchicine (used for gout) Nitrous oxide (anaesthetic gas that can inactivate B12) Chloramphenicol (may reduce the haematological response to B12 therapy) If you take any of these medications long-term, discuss B12 monitoring with your healthcare provider