If youre feeling unusually tired, your hair is thinning, or you experience any of the other symptoms mentioned above, it may make sense to get your vitamin levels tested
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The use of PPIs is also thought to contribute to vitamin B12 deficiency (Aroda et al, 2016)
A patient with a frank deficiency needs aggressive repletion, often intramuscular
Some people do not absorb B12 efficiently due to age, gastrointestinal issues, or insufficient intrinsic factor, a protein required for B12 absorption