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Additionally, vitamin B 12 deficiency can also occur as a result of other malabsorptive conditions (such as inflammatory bowel disease, or pancreatic insufficiency), after certain procedures (such as bariatric surgery, or ileal resection), restricted diets (such as veganism), or the use of certain medications (such as metformin or proton-pump inhibitors)

When vitamin B12 levels are low, a person can develop health problems related to red blood cells and nerve cells malfunctioning

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Dosage: Unless otherwise prescribed, 1 ml "Vitamin B12 forte-Hevert injekt" (equivalent to 1500 g cyanocobalamin) is administered twice a week at the beginning of treatment in the first few weeks after diagnosis

Sulfur : Molybdenum 150 mcg twice daily (start lower and work up to), Hydroxocobalamin lozenge 2000 mg 1x/day, Calcium DGlucarate, Liquid trace minerals, and Magnesium