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Improved verbal communication and education in regard to the importance of taking VB12 post-gastrectomy, as an inpatient and when followed up in the clinic, are vital in post-gastrectomy patients

pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

Vitamin B12 deficiency associated with histamine-2-receptor antagonists and a proton-pump inhibitor

For those who are deficient, it may be necessary to supplement the diet with B12

Additionally, the open-label design could introduce bias