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Gastritis reduces the production of hydrochloric acid which leads to the growth of intestinal bacteria

Additionally, alcohol can exacerbate gastrointestinal side effects such as nausea and may contribute to dehydration if combined with vomiting or diarrhea caused by the medication

Certain individuals are more likely to develop B12 deficiency, including those with: Pernicious anemia Gastrointestinal conditions (such as Crohns disease or celiac disease) A history of gastrointestinal surgery Difficulty absorbing nutrients due to age or other medical conditions For these patients, vitamin B12 injections are an effective option because they deliver the nutrient directly into the bloodstream, bypassing the digestive system and ensuring optimal absorption

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