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[DOI] [PMC free article] [PubMed] [Google Scholar] 219.Lazar I, Clement E, Dauvillier S, Milhas D, Ducoux-Petit M, LeGonidec S, et al

Energy: unchanged or slightly reduced

People with certain conditions, such as severe kidney disease or allergies to B12 components, should discuss suitability with their provider

Additionally, there is an increased risk of gastric type 1 neuroendocrine tumours, as highlighted in recent work by Rugge et al

Learn more about the various symptoms of a vitamin B12 deficiency here

Medications including metformin, proton pump inhibitors, and H2-receptor antagonists may reduce absorption of B12, potentially prolonging the time to clinical improvement