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Since the patient never had history of abdominal pain, indigestion, acid reflux symptoms, or use of acid reducing medication, it is less likely that atrophic gastritis or Helicobacter pylori infection is the contributing cause, although EGD evaluation with pathological biopsy would be helpful in this case
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Additionally, some studies investigate whether vitamin b12 on empty stomach supplementation has advantages, prompting questions like "Can you take vitamin b12 on an empty stomach to maximize absorption?" New research: Enhanced vitamin B12 absorption on an empty stomach A recent study, "Comparative Absorption of Vitamin B12 in Fasting and Fed States: Implications for Supplementation Practices," published in January 2025 in the Journal of Nutritional Science , examined the absorption rates of vitamin B12 when taken on an empty stomach versus with food