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In adults, especially those over 50, the ability to absorb B12 from food decreases

Repairing mitochondrial dysfunction in disease

The data proved that the vitamin B12 level in more than 50% of patients with depression/anxiety was low and that supplementing with vitamin B12 was found to be an effective at reducing symptoms

Whilst deficiency clearly impacts mental health, the question of whether adequate or elevated B12 levels might paradoxically cause anxiety requires careful examination of the available evidence
