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Methylcobalamin B12 is also indicated in those with pernicious anemia, diabetes, neuropathy, heart disease, circadian rhythm sleep disorders, memory loss, depression, fatigue, AIDS, inflammatory bowel disease (IBD), Lyme disease, osteoporosis, tendonitis, psychiatric disorders, Alzheimers disease, liver and kidney disease, and asthma

Third, discuss anti-nausea strategies with your provider, including dietary modifications outlined in tirzepatide food guides

Another cause of deficiency may be due to medications such as proton pump inhibitors or metformin reducing B12 levels over time

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