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People who take certain medications may also be at risk of vitamin B12 deficiency, including, but not limited to, estrogen, H2 receptor antagonists, PPIs (Proton Pump Inhibitors), Chloramphenicol, and Metformin

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Other reported effects include headaches , fatigue , injection site reactions, hair thinning , anxiety , and muscle pain

Cremades N, Velzquez-Campoy A, Martnez-Jlvez M, Neira JL, Prez-Dorado I, Hermoso J, Jimnez P, Lanas A, Hoffman PS, Sancho J (2009) Discovery of specific flavodoxin inhibitors as potential therapeutic agents against Helicobacter pylori infection