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As indicated earlier, omeprazole's ability to suppress gastric acid production can impair the conversion of pepsinogen to pepsin
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For patients with pernicious anaemia or malabsorption disorders , intramuscular hydroxocobalamin injections represent the standard treatment in the UK, as oral supplementation cannot overcome the absorption defect
Clinical Benefits: Supports red blood cell formation and helps prevent megaloblastic anaemia Essential for neurological function and nerve tissue health Plays a key role in DNA synthesis and cell metabolism Supports cognitive function, concentration, and mood regulation Assists in the conversion of homocysteine, supporting cardiovascular health Helps address fatigue and weakness associated with B12 deficiency For patients presenting with deficiency, a loading protocol is typically recommended: weekly injections for three weeks, followed by monthly injections for three months, then a maintenance injection every three months
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