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[14] Pernicious anemia due to autoimmune problems occurs in about one per 1000 people in the US

Youre on a medication that limits B12 absorption A wide range of common meds can mess with your bodys ability to absorb vitamin B12 including Antibiotics such as neomycin Diabetes medications such as metformin Gastric acid inhibitors such as the proton pump inhibitors omeprazole (Prilosec) and lansoprazole (Prevacid) Antihistamines and antacids such as cimetidine (Tagamet) and ranitidine (Zantac) 5

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Mahfudh et al

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IM injection into a freshly trained muscle is reported in research interest in localized hyperplasia signaling, though the long half-life means the peptide distributes systemically regardless of site