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Timing matters: take oral B12 supplements at least two hours apart from any other medications, and consider sublingual lozenges or liquid formulations, which allow some absorption through the mouth lining and bypass the stomach entirely

Patients with diagnosed diabetes should monitor glucose closely, as MOTS-cs insulin-sensitizing effects may potentiate hypoglycemia when combined with antidiabetic medications

BNF British National Formulary Chapter 9 Section 1.2 bnf.nice.org.uk/drug/hydrox

J Obstet Gynaecol
