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Some conditions that can cause this vitamin B12 deficiency include: Atrophic gastritis, an inflammation of the stomach Surgical removal of part of the stomach or intestines Conditions that affect your intestine's ability to absorb nutrients, such as Celiac disease Pancreatic insufficiency Alcoholism Acquired immune deficiency syndrome (AIDS) Some people who don't have enough of a protein called the "intrinsic factor" also have a vitamin B12 deficiency

Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, [online] 19(8), pp.753757

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Before receiving B 29 AQ 1500MCG PREFILLED SYRINGE(PFS), inform your doctor if you have Leber's disease (inherited form of vision loss) and/or suffering from low potassium level (with associated signs such as muscle twitches/cramps, low blood pressure), optic nerve disease (swelling and nerve damage to the eyes), kidney and/or liver problems