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Medication Interactions: Certain medications, like proton pump inhibitors and metformin, may interfere with B12 absorption

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If this test is positive then it means you definitely have Pernicious Anaemia and you will need to continue your injections every 3 months

Conditions including acute hepatitis, cirrhosis, non-alcoholic fatty liver disease (NAFLD), and liver cancer have all been associated with elevated serum B12