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It is permanent and can be passed down from your parents

Pernicious Anaemia and Vitamin B12 Immune system disorders, such as pernicious anaemia an autoimmune disease can make it harder or impossible for your body to absorb vitamin B12, even if youre eating plenty of B12-rich sources or are taking supplements

Avoid taking antacids 2 hours before or after taking 9M B12 Plus Injection as they make it harder for your body to absorb the medicine

Hypotension and orthostatic hypotension were more frequently seen in patients on concomitant antihypertensive therapy

Vitamin B12 (hydroxocobalamin, cyanocobalamin): advise patients with known cobalt allergy to be vigilant for sensitivity reactions