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10.3748/wjg.v24.i48.5462 30 DuplancicB.StambolijaV.HoljevacJ.ZembaM.BalenovicI.DrmicD.et al (2014)

These injections provide a combination of B12, methionine, inositol, and choline

Patients may also have low levels of vitamin B12 if they have had bariatric surgery, are strict vegetarians, or have used antacids or proton pump inhibitors for a prolonged period

Plus, another common cause is pernicious anemia, a condition that causes your body to destroy stomach cells that help you absorb Vitamin B12

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[3] If you have concerns about the cost or availability of prescribed treatments, discuss this openly with your GP, who may be able to suggest alternatives or provide guidance on accessing medications through appropriate NHS channels