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June I was diagnosed with PA and atrophic gastritis 11 years ago

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Patients should always get a doctors approval before changing how they inject or how much they are taking

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I got energy back and digestion improved

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Drug Interactions Several common medications reduce B12 absorption: Metformin (diabetes) significant reduction in B12 absorption Proton pump inhibitors (Omeprazole, Pantoprazole) reduce stomach acid needed for absorption H2 blockers (Ranitidine, Famotidine) similar effect to PPIs Colchicine (gout) may reduce B12 absorption If you take any of these medications long-term, B12 supplementation is strongly recommended

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Avoid alcohol 24 hours before your appointment

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HBsAg: B

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