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The authors made the following conclusion: Omeprazole (PPI) therapy acutely decreased cyanocobalamin (B12) absorption in a dose-dependent manner.[191] B12 absorption issues worsen in patients with atrophic gastritis, which is a common condition in the elderly

A foundational 1991 study by Safer et al

Differentiating D51.0 from D52 Folate Deficiency Codes Both B12 and folate deficiencies produce macrocytic anemia, creating diagnostic overlap that confounds coding

The following are the recommended daily allowances from the NIH: Can You Take Too Much Vitamin B12

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