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Fernandez, M., Mollinedo-Gajate, I

Vitamin B12 Injections Vitamin B12 is essential for energy production, red blood cell formation, and neurological function

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Patients with liver disease frequently take lactulose, rifaximin, beta-blockers (for portal hypertension prophylaxis), diuretics, and sometimes direct-acting antivirals for hepatitis C

25 Patients diagnosed with vitamin B 12 deficiency whose history and physical examination do not suggest an obvious dietary or malabsorptive etiology should be tested for pernicious anemia with anti-intrinsic factor antibodies (positive predictive value = 95%), particularly if other autoimmune disorders are present