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My pins and needle/burning tongue, dry mouth, sinus issues and digestive issues have been labeled as silent reflux all year, and after trying every reflux and sinus medicine multiple times I think

Common reasons a prescriber orders it include: Pernicious anemia , an autoimmune condition in which the stomach stops making intrinsic factor, so B12 cannot be absorbed from food Malabsorption , Crohn's disease, celiac disease, small bowel resection, or other gastrointestinal conditions After bariatric surgery , gastric bypass and similar procedures reduce the cells that make stomach acid and intrinsic factor Medication-associated deficiency , long-term metformin, proton pump inhibitors, or H2 blockers can interfere with B12 absorption Vegan and strict vegetarian diets , natural food sources of B12 are essentially limited to animal foods Some neurologic situations , when a prescriber is treating or preventing the nerve damage that B12 deficiency can cause What the evidence does and does not support

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