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Manufactured folic acid is used as a dietary supplement and in food fortification as it is more stable during processing and storage

If Constituted, Please Refrigerate

Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65

If lab shows that it is deficient, it is billable to insurance by the practitioner

[4] You might notice your urine has a stronger B-vitamin odor as well (similar to when taking multivitamin pills), again, normal