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Malabsorption : Some people may have difficulty absorbing vitamin B12 from the diet due to certain medical conditions or the use of certain medications, such as proton pump inhibitors (PPIs) or H2 blockers, which reduce stomach acid production

Patients with severe heart failure or arrhythmias require monitoring because rapid shifts in free-fatty-acid metabolism can influence myocardial substrate utilization

Hence they look and feel a whole lot better

Common symptoms include: People frequently ask, can low B12 cause headaches or can lack of B12 cause headaches? Yes, low oxygen delivery and nerve involvement can contribute to recurring headaches in some individuals