b12 injections vs oral vs. Intramuscular Vitamin in Vitamin B12 Deficiency • The Blood Project Efficacy of sublingual and oral

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[2] Other conditions giving rise to malabsorption include surgical removal of the stomach, chronic inflammation of the pancreas, intestinal parasites, certain medications such as long-term use of proton pump inhibitors, H2-receptor blockers, and metformin, and some genetic disorders

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thus a deficiency may lead to disruption of DNA synthesis/cell metabolism and have serious clinical consequences

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