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Drugs that decrease or reduce absorption of B12: antibiotics, cobalt irradiation, colchicine, colestipol, H2-blockers, metformin, nicotine, birth control pills, potassium chloride, proton pump inhibitors

While receiving an IV drip that provides NAD+, you can also get an intramuscular shot of vitamin B12, or you could have the nutrients added to the IV bag