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That often includes: Older adults who naturally absorb less B12 from food Vegans and vegetarians who dont eat enough B12-rich foods People with stomach or gut issues (like Crohns or coeliac disease) Those on long-term medication that affects absorption Busy people who feel drained all the time and cant explain why If you fall into one of these groups, injections might be worth considering

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Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65

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And there's no melanotan in either of these

Clinical pathobiochemistry of vitamin B12 deficiency: Improving our understanding by exploring novel mechanisms with a focus on diabetic neuropathy