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Other than that, low vitamin B12 levels are more common in those who are: Older than 65 years of age

Some common interactions include: Other muscle relaxants or sedatives Anticholinergic drugs, which reduce bladder muscle contractions Opioids, which can slow bladder emptying Always inform your healthcare provider about all medications and supplements you are taking to avoid harmful interactions

There are a number of conditions that may result in this form of B12 deficiency: gastric surgery absence of stomach acid due to chronic use of some medications including antacids chronic H