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Vitamin B12 and Acid Suppressing Medications Vitamin B12 deficiency Chronic Metformin inhibits calcium dependent cubilin receptor in terminal ileum B12 IF complex absorption impaired insidious B12 deficiency; monitor annually Chronic PPI H2 blockers achlorhydria Hydroxocobalamin (B12) 1000mcg mL Injection 30mL MDV McGuff Does vitamin B12 deficiency delay wound healing, and who (e.g., adults >65, strict vegans vegetarians, patients with pernicious anemia, Crohn disease, celiac disease, postgastric bypass, chronic alcohol users, or those on longterm protonpump
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