report successful normalization of plasma B12 levels in pediatric patients with various cobalamin deficiencies using subcutaneous hydroxocobalamin (OH-Cbl)
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Reduced secretion of gastric acid and pepsin, from the use of H 2 blocker or proton-pump inhibitor (PPI) drugs, can reduce the absorption of protein-bound (dietary) vitamin B 12 , although not of supplemental vitamin B 12