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The syringes, the alcohol swabs, the careful rotation of injection sites, the occasional bruise that forces you to wear long sleeves

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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

Moreover, theres the risk of allergic reactions, and in some cases, complications such as nerve damage could arise if treatment is delayed or not managed correctly