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Once injections or medical treatments bring B12 levels back to normal, oral supplements help keep those levels steady

Why HbA1c May Be Unreliable in B12 Deficiency B12 deficiency alters red cell turnover and erythropoiesis, making HbA1c potentially unreliable in either direction the distortion is variable and cannot be predicted

Some people who take proton pump inhibitor (PPI) medicines, including NEXIUM, may develop a kidney problem called acute tubulointerstitial nephritis that can happen at any time during treatment with NEXIUM

This would explain the increase in lean body mass

Deficiency of B12 predominantly affects hematological and neurological systems, although neuropsychiatric symptoms are often the first clinical manifestation