While this interaction primarily affects dietary B12 absorption rather than injected cyanocobalamin, patients on long-term acid suppression therapy may have depleted B12 stores that require consideration when initiating treatment
For example, Benzyl alcohol has been associated with serious adverse effects in neonates
It gets treated as a commodity water is water right up until a vial comes back cloudy and nobody can explain why
Hydroxocobalamin is the preferred agent in this patient population (see separate monograph in Less Common Drugs)
Basically, recovery is a process that includes rest, refueling through nutrition, rehydration, regeneration, resynthesis, reduction of inflammation, and restoration that ultimately brings the body back to balanceor homeostasis