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Bloodwork may be recommended to confirm

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Certain Medications Long-term use of medications such as metformin (for diabetes) and proton pump inhibitors or antacids (for acid reflux) can interfere with vitamin B12 absorption over time

However, the proportion (15-25%) that is transported by transcobalamin is taken up by the cells

If your arm still hurts a lot after a week, you might want to talk to a doctor