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The use of non-sterile injection techniques in unregulated settings increases infection risk, including abscess formation or blood-borne virus transmission

Certain medications such as Metformin, H2-receptor antagonists including Zantac (Ranitidine), Tagamet(Cimetedine), Famotidine, Pepcid AC (Oral Pepcid), Axid AR (Nizatidine), Proton pump inhibitors (PPIs)including Prilosec (Omeprazole), Nexium (Esomeprazole), Prevacid (Lanzoprazole) and Antacids e.g:Gaviscon can also affect your ability to absorb vitamin B12

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This includes vitamin C, retinoids at high concentrations, and low-pH chemical exfoliants