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doi: 10.3945/an.113.005207 98

PPIs reduce stomach acid, which impairs the first step of B12 absorption from food

Heterogeneity of gastric histology and function in food cobalamin malabsorption: absence of atrophic gastritis and achlorhydria in some patients with severe malabsorption

The research also doesnt extensively cover the long-term consequences of subclinical B12 deficiency or optimal strategies for monitoring and treating intrinsic factor-related B12 deficiency