It is generally safe to take these medications together, but we can optimize the timing. Glycomet (metformin) is usually best taken during or immediately after your breakfast and dinner to minimize stomach upset, rather than before. Your schedule for Jalra (vildagliptin) after meals is perfect. Adding Neurobion Forte (vitamin B-complex) once daily is a great choice, as metformin can sometimes lower vitamin B12 levels over time.

Yes, absolutely. Stress and tension can trigger your body to produce excess stomach acid, leading to that burning, irritated feeling. It is very common, and you will get through this. Your doctor prescribed Rabemac (rabeprazole) to reduce stomach acid, allowing your stomach lining to heal and easing the burn. Neurobion (B-complex vitamins) supports your nervous system and helps your body cope with physical stress. Together, they work to calm your stomach and support your recovery.

Since you suspect your body isn't absorbing Vitamin B12 from food, consulting a gastroenterologist (stomach specialist) is an excellent step. They can investigate underlying causes of malabsorption, such as celiac disease or pernicious anemia. However, starting with a general physician is also a great option to run comprehensive blood tests and coordinate your care. Please be reassured that B12 deficiency is highly treatable, though it can take multiple generic B12 injections or specific doses to feel better.

Medications like Jotter 100 (gabapentin) can take two to four weeks to show their full effect, so ten days is often too early to feel significant relief. Regarding Neurobion Forte, it contains B-complex vitamins, which overlap significantly with your Supradyn multivitamin. Taking both is generally not recommended as it can lead to an unnecessary double-dose of these vitamins. I suggest holding off on Neurobion Forte and speaking with your doctor, who can safely adjust your gabapentin dose or streamline your vitamins to better manage your symptoms.

After 45 days of D Rise (cholecalciferol) and Neurobion Forte (vitamin B-complex), your body is still rebuilding its vitamin stores, and fluctuations can happen. Please do not adjust your dosages without consulting your doctor first. As a vegetarian, naturally sourcing vitamin B12 is challenging, so incorporating fortified foods, milk, yogurt, and cheese into your diet is very beneficial. I highly recommend getting a quick follow-up blood test to recheck your vitamin D3 and B12 levels.

It is very unlikely that your gallbladder surgery from 40 days ago or your medications?pantoprazole (Pan40) and vitamin B complex (Neurobion)?are causing this. In fact, Neurobion is typically prescribed to support nerve health. Your symptoms are more commonly related to a mild compression of the ulnar nerve, often near the elbow or wrist. I recommend resting your arm, avoiding leaning on your elbows, and speaking with your doctor.