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For Genetic B12 Malabsorption Some genetic conditions cause the digestive system to be unable to break down the vitamin B12 in the body

However, this is up for debate

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These include: Metformin (used for diabetes or PCOS) Proton Pump Inhibitors (used for acid reflux or GERD) H2 Blockers Birth control pills Certain antibiotics If youre taking these medications long-term, particularly in combination, regular B12 injections might be beneficial

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