h2 blockers and b12 injections Compounded Cyanocobalamin (Vitamin B12) Injection Does vitamin B12 deficiency delay

Does vitamin B12 deficiency delay wound healing, and who (e.g., adults >65, strict vegans vegetarians, patients with pernicious anemia, Crohn disease, celiac disease, postgastric bypass, chronic alcohol users, or those on longterm protonpump Antacids, H2 Blockers, and PPIs Antacids These drugs neutralize existing stomach acid They work quickly but do not last long! Immediate relief is felt by the patient, but again, this will not B12 injections: who needs them and how often? CoLaz Vitamin B12 deficiency Chronic Metformin inhibits calcium dependent cubilin receptor in terminal ileum B12 IF complex absorption impaired insidious B12 deficiency; monitor annually Chronic PPI H2 blockers achlorhydria

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