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The role of Vitamin B12 has become necessary for the production of red blood cells and the formation of bone marrow

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Additionally, those with surgical removal of the ileum face significant barriers to absorption, making injections essential for maintaining healthy levels

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For example, proton pump inhibitors (PPIs) and H2 receptor antagonists, commonly used to treat gastroesophageal reflux disease (GERD), can reduce the absorption of vitamin B12 and may necessitate adjustments in the dosing of methylcobalamin

Then, youll move to a schedule to keep your B12 levels up