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Other conditions that make Vitamin B12 absorption more difficult are: Weight loss surgery or another operation that removed part of your stomach Heavy drinking Taking acid-reducing medication for a long time Certain health issues may also lead to the development of vitamin B12 deficiency such as atrophic gastritis, pernicious anemia, Crohns disease, celiac disease, immune system disorders, Graves disease and lupus

If you experience any unusual symptoms, contact your healthcare provider right away

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Symptoms may range from mild skin irritation to more severe symptoms like difficulty breathing and anaphylaxis

What the research actually shows Let us be direct about what the evidence supports and what it does not

doi: 10.1016/S2213-8587(25)00226-8