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How do you reduce high B12 levels

Store at controlled room temperature between 15C and 30C (59F - 86F)

Some medications that may interfere include metformin, PPIs, chloramphenicol, some antibiotics, and anticonvulsants

Vitamin B12 Medicine Interactions Chloramphenicol: bacteriostatic antibiotic can interfere with red blood cell response to supplemental Vit B12 Proton pump inhibitors: omeprazole and lansoprazole, etc., slow gastric acid release and may interfere with VIt B12 absorption from food H2-receptor antagonists: cimetidine, famotidine and ranitidine slow the release of hydrochloric acid into the stomach and interfere with Vitamin B12 absorption from food Metformin: might reduce absorption of Vitamin B12 due to altered intestinal motility, increased bacterial overgrowth, etc

The test is either done by collecting samples of your blood or urine