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Proton pump inhibitors (PPIs) and H2-receptor antagonists, used for acid reflux, reduce stomach acid production, which can impair dietary B12 absorption, though this does not directly affect injections
Cyanocobalamin is a synthetic form of vitamin B12 that's commonly found in supplements
Shoulder pain has many causes, including referred pain from the cervical spine, thoracic outlet syndrome, and cardiac conditions (especially left shoulder pain)
the loss of neuromelanin in neurodegenerative diseases may be due to the same amyloid fibril bleaching process that takes place in the extracellular -amyloid and/or may be due to uptake of melanin by pathogens that use host melanin to fortify their own immune systems and/or for other expenditures