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NICE recommends lifelong intramuscular replacement for vitamin B12 deficiency caused by autoimmune gastritis, or after total gastrectomy or complete terminal ileal resection
PPIs, like omeprazole, can lower stomach acid
They are often blended together in liquid formulations to provide comprehensive cellular support without relying on methylation
However, these injections are not recommended for people with thyroid disorders, anxiety disorders, and cardiovascular conditions
Extra B12 can be prescribed as a pill, nasal spray, nasal gel, injection, or medicine you put under your tongue
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