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A practical dose would be one 250 mcg tablet per day

Without enough, you can feel tired, forgetful, or off balance

Patients should also be aware that certain medicationssuch as proton pump inhibitors (PPIs) and metformincan interfere with B12 absorption, though this is less relevant once on injection therapy

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Kidney Patients with kidney impairment should use Optineuron Injection cautiously, especially during prolonged treatment

Can be used at home as an injection, under instruction of a doctor.