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Peptides come in many forms
Antacids and proton pump inhibitors such as Prilosec, Protonix, Prevacid, Aciphex, Zantac and Pepcid also can lead to B12 deficiency, because they reduce the stomach acid necessary to release the B12 from food
Treatment of pernicious anemia by a special diet
If a vial is multi-dose, follow the label or pharmacist instructions for how long it can be used after opening
Numbness or tingling in hands and feet: Low B12 weakens your nerves, sparking odd sensations like pins and needles, particularly when your gut cant pull it in properly
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