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Although dryness (sicca) of the eyes and mouth are the classically described features, dryness of other mucosal surfaces and systemic manifestations, including fatigue and arthralgia, are common ( Digestive involvement is frequent in pSS, including autoimmune disorders, such as chronic atrophic gastritis, esophageal motility dysfunction, lymphocytic colitis, primary biliary cholangitis and autoimmune hepatitis ( pSS-related atrophic gastritis and associated PA may require parenteral or sublingual vitamin B12 supplementation (2)

More research is needed, but in a limited study, 43 out of 47 participants saw promising results

Before using the drug, the cause of vomiting and nausea should be established

Vitamin B-12 shots are injections containing high levels of hydroxycobalamin the best type of B12 to use because it is detoxifying and long lasting

Vitamin B12 injections are an effective treatment for individuals who cannot absorb enough B12 from their diet or oral supplements

If the immune deficiency continues to attach the lining of my stomach, will metaplasia get worse and ending up becoming cancerous