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How do people with diabetes become deficient in vitamin B12
[10] Long-term use of proton pump inhibitors (PPIs) and H2-receptor antagonists reduces gastric acid, potentially impairing the release of B12 from dietary proteins
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Its also been speculated that oral methylcobalamin or injected hydroxycobalamin may be preferable in smokers, but that hasnt been conrmed

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[DOI] [PubMed] [Google Scholar] 49.Christopoulos P.F., Msaouel P., Koutsilieris M