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It is an Andean town, surrounded by a very dry area with little vegetation

The injection is providing you with the necessary B vitamins regardless of your food intake, which is helpful especially if you have trouble eating a balanced diet (due to illness or other reasons)

"Proton pump inhibitor and histamine 2 receptor antagonist use and vitamin B12 deficiency"

Challenging cases require at least two years of B12 therapy

My doctor told me I could die of low B12 when mine was 100

This could have led to an inaccurate recall of individual dietary behaviors or measurement errors, which in turn could have biased the final measures of association