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It's also essential to monitor your diet and lifestyle habits to support B12 absorption and utilization

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So they're not the FDA approved versions, but when there's a shortage of a medication, the compounders are allowed to make these drugs to meet the shortage

doi: 10.1172/JCI65907

If the damage goes on long enough, parietal cells can be lost entirely.[ref] Antibodies to parietal cells are found in 90% of patients with autoimmune gastritis