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J Neural Transm 1997;104:661-77

As I said before PA is still thought to be the primary culprit here, other causes of B12 deficiency such as malabsorption caused by metformin, H2 blockers, PPIs, parasites, etc

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The answer depends on your goal

Metformin hydrochloride | Drugs | BNF NICE

In certain areas in Scotland, PA patients are reporting that they are being sent to vaccination centres to get their B12 injections because their GP is no longer providing that service