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As I said before PA is still thought to be the primary culprit here, other causes of B12 deficiency such as malabsorption caused by metformin, H2 blockers, PPIs, parasites, etc

The other benefits of vitamin B12 include the following: Improved metabolism Higher energy levels Better concentration Easier weight loss Enhanced immune system Accelerated hair growth Vitamin B12 Deficiency The best approach to tell if someone is vitamin B12 deficient is not to measure vitamin B12 levels in the blood because some deficient individuals can have regular vitamin B12 levels

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Others do monthly maintenance