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It is used in the treatment and prevention of vitamin B12 deficiency in patients with conditions such as:_ Addisonian (pernicious) anemia Malabsorption Atrophic gastritis Prolonged treatment with metformin Small bowel bacterial overgrowth (SIBO) Total or partial gastrectomy Infection with the fish parasite Diphyllobothrium latum Helicobacter pylori infection Pancreatic dysfunction Pancreatic or bowel malignancy Dietary deficiency (e.g

Inositol , a member of the B vitamin family, plays a role in fat metabolism and helps regulate insulin sensitivity

These symptoms progress gradually, but if untreated, could be permanent

Hydroxocobalamin injections are used when a longer release of vitamin B12 is needed