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Okuno Y et al
B12 Subcutaneous Injections Make Sense When you receive a vitamin B12 shot, your body uses what it needs, stores some of it, and discards the rest
Grundy SM
pylori infection chronic excess alcohol use pancreatic insufficiency intestinal bacterial overgrowth Gastrectomy/ bariatric surgery and gastritis Causes of food cobalamin malabsorption can be directly related with the stomach: Bariatric surgery it can depend on the type of procedure and what area of the stomach or intestines are removed Gastrectomy removal of part or all of the stomach Gastritis inflammation of the stomach lining Gastrectomy, bariatric surgery, and gastritis cause vitamin B12 deficiency due to an absence of stomach acids that help to remove vitamin B12 from food proteins, for example red meat
Liver disease : liver enzyme monitoring is recommended in community use, and a baseline ALT/AST check is reasonable before starting
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