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Colchicine, Neomycin, Aminosalicylic Acid, H2-blockers (e.g., Ranitidine), and Proton Pump Inhibitors (PPIs, e.g., Omeprazole): These oral medications can all interfere with the intestinal absorption of dietary B12, making the need for injectable B12 more pronounced

The NHS gives hydroxocobalamin as an intramuscular injection, but published evidence shows the subcutaneous route is a recognised and similarly effective alternative

If you walked in without an appointment, we'll fit you into the next open slot, usually within ten minutes

But transitional friction including pharmacy bottlenecks could create short-term access constraints