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[9] A related cause is reduced stomach acid production with age or from long-term use of proton-pump inhibitors, [10] H 2 blockers, or other antacids, [11] and interaction with metformin

Those following plant-based diets are at significantly higher risk of deficiency unless they actively consume fortified foods or supplements

For mild deficiencies or maintenance, oral B12 supplements or tablets may sometimes be appropriate and can often be purchased elsewhere

As our understanding of peptide biology and pharmacology deepens, new peptide-based treatments for a range of diseases, including cancer, diabetes, and cardiovascular disease, are expected to emerge

Many patients notice improved energy and focus within days