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Medical Conditions, Surgeries, and Medications Lack of intrinsic factor (a protein made in the stomach thats needed for B12 absorption) - this condition is called pernicious anemia Thyroid disease HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Autoimmune diseases like type 1 diabetes, where the immune system in the body attacks its own tissues Gastric bypass surgery (weight loss surgery) Chronic gastritis surgery Certain medications like heartburn drugs (proton pump inhibitors) which reduce stomach acid production Who Is At Risk of Vitamin B12 Deficiency
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Some patients may come across other formats such as oral capsules, nasal sprays, or topical products online
Administration in Combination with Other Chemotherapies In the treatment of NSCL and mesothelioma cancer types, Pemetrexed Disodium is often used in combination with cisplatin or carboplatin to improve its effectiveness
