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The frequency of B12 shots varies based on individual needs

These include some heartburn medicines, including esomeprazole (Nexium), famotidine (Pepcid AC), lansoprazole (Prevacid), omeprazole (Prilosec OTC), pantoprazole (Protonix), rabeprazole (Aciphex), as well as some diabetes, gout, and chemotherapy drugs

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Rather than mixing the powder into a large glass of water and swallowing it immediately, the manufacturer and functional medicine practitioners recommend placing the powder directly in the mouth (or mixing it with a tiny sip of water) and holding it under the tongue or against the cheeks for 30 to 90 seconds before swallowing

While some patients are able to get enough B12 through their consumption of red meats, dairy products, and fish, other patients find their dietary restrictions or metabolism limit the amount of B12 they receive