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When supplements are needed for that extra boost, IV Therapy and B12 injections are two effective options

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Proton pump inhibitors or histamine type 2 (H2)-receptor antagonists: Medications to treat gastric disorders that interfere with or suppress gastric acid and intrinsic factor production can lead to decreased vitamin B12 absorption (3) (4)

It was only pushing for a referral to Queens UCH that had the expertise and did gruelling tests daily for a week