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Vitamin B12 injections are also used by people with impaired vitamin B12 absorption or deficiency called Pernicious anaemia caused by: Inadequate dietary intake of B12 Loss of gastric parietal cells in chronic atrophic gastritis Structural damage or surgical resection of the small intestine or stomach Long-term use of acid regulating medication Alcoholism Gastric banding surgery Celiacs disease Pernicious anaemia Crohns disease Until now, injection of methyl-B12 has required a needle

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Further information on data access and application procedures is available at Abbreviations ACEIs: Angiotensin-converting enzyme inhibitors AHMs: Antihypertensive medications aOR: Adjusted odds ratio ARB: Angiotensin II receptor blocker ASMD: Absolute standardised mean difference AT1 / AT4: Angiotensin II type 1/type 4 receptors BBs: Beta-blockers BP: Blood pressure CCB: Calcium channel blocker CI: Confidence interval DHP CCBs: Dihydropyridine calcium channel blockers HR: Hazard ratio IDGC: Independent data governance committee (MedicineInsight) NSAIDs: Non-steroidal anti-inflammatory drugs Non-DHP CCBs: Non-dihydropyridine calcium channel blockers OR: Odds ratio PDC: Proportion of days covered PSM: Propensity score matching RAS: Reninangiotensin system RCTs: Randomised controlled trials SD: Standard deviation VIF: Variance inflation factor References Livingston, G