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Long-term PPI users should discuss B12 monitoring with their GP if symptoms of deficiency develop

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Still, that doesnt mean children and younger adults, including those who are pregnant and nursing, cant develop B12 deficiency ( B12 deficiency is often misdiagnosed, often due to inadequate laboratory testing or because the symptoms are not specific ( Read on about nine of the most commonly reported symptoms related to B12 deficiency and how this deficiency is diagnosed and treated

Any downstream effects, whether on energy, cognition, or ordinary metabolic housekeeping, run through the enzymatic and receptor pathways that pharmacology has already mapped in peer-reviewed literature