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While preventing the spread of COVID-19 remains a public health goal, the PHE ended on May 11, 2023
Medical Conditions, Surgeries, and Medications Lack of intrinsic factor (a protein made in the stomach thats needed for B12 absorption) - this condition is called pernicious anemia Thyroid disease HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Autoimmune diseases like type 1 diabetes, where the immune system in the body attacks its own tissues Gastric bypass surgery (weight loss surgery) Chronic gastritis surgery Certain medications like heartburn drugs (proton pump inhibitors) which reduce stomach acid production Who Is At Risk of Vitamin B12 Deficiency
For example, some physicians prefer Voluma because it swells as it attracts and holds onto more water with time, and that gives it more of a lift over time
BioMed Research International (2015) 11
48/51 dogs had resolution of their hypocoblaminemia on oral supplementation (after 20-202 days)
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