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Generally yes, but some medicines like Metformin, antacids and certain antibiotics can reduce B12 absorption
We believe that a significant amount of these reactions could be due to transient inflammation caused by massive mite death (analogous to a JarischHerxheimer reaction), which can vary in intensity, has a favorable course, and does not reappear upon reintroduction of ivermectin
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Immunomodulatory effects of mesenchymal stem cells in peripheral nerve injury
Chemical Reviews 117 , 82088271, (2017)