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Its deficiency is seen in people with poor nutrition, infection, cancer, surgery, alcohol, pernicious anemia, medications (PPIs or other acid-suppressing drugs), exposure to nitrous oxide (during surgery or recreational use), stomach/intestinal problems such as intestinal dysbiosis, leaky gut or gut inflammation, atrophic gastritis or hypochlorhydria (low stomach acid) and/or nerve damage

Here is a quick look at the main points: Do vitamin injections, particularly B12, directly cause weight gain

In any case, lab results that indicate elevated levels of vitamin B12 in the blood will almost inevitably lead to a phone call from your doctor

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