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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

Subacute combined degeneration with high serum vitamin B12 level and abnormal vitamin B12 binding protein: new cause of an old syndrome

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[1] Benefits for Gut Health and Gastrointestinal Protection Counteracts damage from NSAIDs, alcohol, stress, and surgical interventions by stabilizing tight junctions and reducing intestinal permeability