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220-22, Okobi, Okelue E., et al

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H2 blockers, antacids, Metformin, and related diabetes drugs, or other medications, or infections such as h-pylori that can interfere with B12 absorption

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If you experience blurred vision, dizziness, or drowsiness due to extremely low or high blood sugar, refrain from driving, operating machinery, or engaging in activities that require alertness or clear vision until you feel confident in your ability to do so safely