Emerging therapies, such as long-acting growth hormone and modified-release hydrocortisone, should be considered to improve compliance
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Medical Conditions, Surgeries, and Medications Lack of intrinsic factor (a protein made in the stomach thats needed for B12 absorption) - this condition is called pernicious anemia Thyroid disease HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Autoimmune diseases like type 1 diabetes, where the immune system in the body attacks its own tissues Gastric bypass surgery (weight loss surgery) Chronic gastritis surgery Certain medications like heartburn drugs (proton pump inhibitors) which reduce stomach acid production Who Is At Risk of Vitamin B12 Deficiency
Potential Side Effects and Interactions Vitamin D and B12 do not interact negatively with one another
Patients who discontinue therapy should have their risk for fracture reevaluated periodically
