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Symptomatic vitamin deficiency is more likely if the person is rendered achlorhydric (a complete absence of gastric acid secretion), which occurs more frequently with proton pump inhibitors than H 2 blockers

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The B-vitamins, including B6, B9 (folate), and B12, may positively affect mood and stress

I follow quite closely the suggested treatment level for B12 deficiency with neurological damage because I dont think the treatment level specified for B12 deficiency with only blood symptoms, which is apparently what you are following, is adequate for achieving my two goals regarding neurological damage