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Due to the rapid metabolism of lidocaine HCl, any condition affecting liver function may alter its kinetics, which can double the half-life in patients with liver dysfunction

There is agreement that the malabsorption of vitamin B12 can be suspected in people with autoimmune disorders, in patients who have had gastric surgery, in people with a family history of pernicious anemia or with positive test results for serum antibodies against intrinsic factor or parietal cells