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Yes, some medicines like metformin, proton pump inhibitors , and antibiotics can block B12 absorption
Dalhoff K
Also, salvianolic acid B pretreatment induces Nrf2 and phase II enzymes by activating phosphoinositide 3-kinase (PI3K) and protein kinase C (PKC) pathways, thereby preventing acetaminophen-induced hepatotoxicity in mice (Lin et al., 2015)
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They can improve symptoms such as numbness and tingling, weakness, difficulty walking and memory trouble, as well as reduce anemia and fatigue
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