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Other reasons include: bariatric surgery or bowel resection, age, those with GI diseases such as Crohns and Celiac, people taking Metformin to control their blood sugar and thos taking proton pump inhibitors (Prevacid, Prilosec, etc) for chronic heartburn

This is something that you are your doctor will decide before you begin receiving treatments

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Despite the existence of such a simple treatment, doctors in the USA, UK, and other countries consistently deny it to patients with B12 deficiency and pernicious anemia