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Aminoglycosides, tetracyclines, and certain other antibiotics may alter gut microbiota composition, potentially affecting the small amount of vitamin B12 that is produced by colonic bacteria, though this is generally not clinically significant for patients receiving injectable B12 supplementation

As with any medical procedure, its crucial to discuss potential dangers and advantages with a healthcare professional before beginning vitamin B12 injections to confirm whether the patient is a candidate for this course of action

Wang Y, Liu X, Zhang D, Chen J, Liu S, Berk M