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We might adjust the dosage for elderly patients based on their health and medications

It binds to transcobalamin II , helping vitamin B12 reach tissues

In people aged 50 and over, adequate consumption of vitamin B12 is thought to be important for maintaining good vision and protecting against macular degeneration

However, very high doses may cause side effects such as: B12 can also interact with certain medications, including those used to treat acid reflux, such as Prilosec (omeprazole) and Prevacid (lansoprazole), as well as some diabetes medications, such as metformin

Hence, you should be getting this essential nutrient from animal food sources and supplements