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Are There Effective Alternatives To B12 Shots While B12 injections are the top choice for anyone with absorption problems like pernicious anaemia, they arent the only option out there

"Serum vitamin B12 concentrations and atrophic gastritis in older New Zealanders"

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Another class of gastric acid inhibitors known as histamine 2 (H 2 )-receptor antagonists (e.g., cimetidine, famotidine, and ranitidine), often used to treat peptic ulcer disease, has also been found to decrease the absorption of vitamin B 12 from food

According to NHS, the common symptoms of B12 deficiency include fatigue, poor appetite, low mood and headaches