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This makes injections highly effective for pernicious anaemia and other malabsorption syndromes, including post-gastrectomy states, Crohn's disease affecting the terminal ileum, and certain medications that interfere with B12 uptake

J Psychiatr Res

Although taking these meds doesnt automatically equal deficiency, your doctor should keep an eye on your B12 levels, especially if youve been taking acid-blockers for longer than a year or metformin for more than four months, according to an article in the journal, American Family Physician (9)

Statements in this article have not been evaluated by the FDA