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A remifentanil/ketamine sedation in surgical cancer patients having severe Parkinsons disease: two case reports

Vitamin B12 injections are also used by people with impaired vitamin B12 absorption or deficiency called Pernicious anaemia caused by: Inadequate dietary intake of B12 Loss of gastric parietal cells in chronic atrophic gastritis Structural damage or surgical resection of the small intestine or stomach Long-term use of acid regulating medication Alcoholism Gastric banding surgery Celiacs disease Pernicious anaemia Crohns disease Until now, injection of methyl-B12 has required a needle

In some cases, this can promote the proliferation of B12-dependent intestinal bacteria, further decreasing the proportion of the vitamin available for absorption