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Vitamin B12 deficiency can occur less frequently as a result of nutritional habits (strict vegans, breastfed infants born to vegan mothers with reduced dietary intake of animal products), drug interference (metformin, proton pump inhibitors, drug-affected purine, and pyrimidine synthesis), inherited disorders affecting intrinsic factor (IF) and other inherited disorders including methylmalonic acidemia and transcobalamin II deficiency nitrous oxide abuse, Diphyllobothrium latum infection, and pancreatic insufficiency.[] Metformin is considered a cornerstone in the treatment of diabetes and is the most frequently prescribed first-line therapy for individuals with type 2 diabetes
If the reaction worsens past six weeks rather than improving, the cause is likely something other than an adjustment phase
The Jains in India eat a vegan diet, but, he said, all the Jain doctors I know have B12 injections
Jej tvorba a osobnos inpiruj mladie genercie a predstavuj vzor hevnatosti, talentu a lsky k umeniu
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