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There are various potential causes of vitamin B12 deficiency besides pernicious anemia, which gastrointestinal surgery long-term use of certain medications, such as proton pump inhibitors genetic intrinsic factor defects dietary deficiency Pernicious anemia requires lifelong treatment

If you are deficient in vitamin B12, it can lead to health problems, including: Weakened immune system Cognitive decline Anemia Cardiovascular disease Depression or anxiety Reduced mobility Low levels of vitamin B12 may contribute to bone loss, especially as you get older

Maybe slightly less hunger between meals

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