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The patient reported transient gum bleeding, along with generalized weakness, poor appetite, and weight loss ( Figure 1 )

Antacid drugs that neutralize stomach acid, as well as acid-suppressing agents such as proton-pump inhibitors, can inhibit the absorption of vitamin B 12 by preventing its release from food in the stomach

Gasparri C, Perna S, Spadaccini D, Alalwan T, Girometta C, Infantino V, et al

Note any unusual symptoms throughout the day of the shot
