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Neurosci Biobehav Rev 128:7486 Baidya AT, Das B, Devi B, Lngstrm B, gren H, Darreh-Shori T, Kumar R (2023) Mechanistic insight into the inhibition of choline acetyltransferase by proton pump inhibitors

This is since shots allow the body to absorb vitamin B12 without going through the digestive system

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Dont guess by symptoms alone they can be subtle and mimic many other conditions and deficiencies