It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g
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People want a diagnosis because that enables them to get early intervention
Most side effects associated with IV therapy are mild, temporary, and easily manageable
Hypokalemia and acidosis increase renal ammonia production as part of acidbase compensation, thereby contributing to hyperammonemia and HE [83]
