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If there is a deficiency of stomach acid due to disease or medication (like proton pump inhibitors or antacids) it can cause decreased absorption and B12 deficiency

have a history of diabetic retinopathy

None of these topical formulations are FDA-approved, which means the agency has not evaluated their safety, efficacy, or quality prior to marketing

Side effects have resolved or become minimal

If you are having difficulties managing your medicines (e.g

Food in the stomach Food slows down the rate of intoxication because food causes the pyloric valve at the bottom of the stomach to close while digestion takes place