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Its unique molecular structure and pharmacological properties give it potential advantages in the treatment of obesity

Proton pump inhibitors (ppis): these medications used to treat gastroesophageal reflux disease (gerd) can decrease the absorption of vitamin b12, increasing the risk of deficiency

However, it is important to note that neurological symptoms can occur even in the absence of anaemia, particularly in patients taking folic acid supplements, which can mask the blood changes whilst neurological damage progresses

If this is the case, then oral vitamin B12 supplementation may not be enough

They support medical necessity for B12 testing and treatment

Anemia, a reduction in healthy red blood cells, can occur