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People with Certain Medications: Long-term use of medications like proton pump inhibitors or metformin can interfere with B12 absorption, leading to a deficiency

Cyanocobalamin is indicated for vitamin B 12deficiencies due to malabsorption which may be associated with the following conditions: It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug Interactions), use of a gluten-free diet in nontropical sprue, or administration of antibiotics in tropical sprue

If your B12 level is normal, there is little evidence to support that they actually work for these purposes, Dr