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People taking heartburn medication, such as proton pump inhibitors, are at a higher risk for B12 deficiency and may benefit from alternative therapies to control/eliminate the heartburn or have regular Nutrient IV therapies and/or Vitamin B12 injections Elderly Vegans Vegetarians People with tapeworms Alcoholics Excessive use of antibiotics Excessive use of anti-convulsant medication Daily consumption of Aspirin may increase the risk for vitamin B12 deficiency

This depends on the dose and vial size: 50mg vial at 1mg/dose = 50 doses 50mg vial at 2mg/dose = 25 doses 100mg vial at 1mg/dose = 100 doses 100mg vial at 2mg/dose = 50 doses 200mg vial at 2mg/dose = 100 doses Community-reported protocols using 1-2mg daily document a 50mg vial lasting 25-50 days