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This includes: Proper diagnosis and management of digestive problems like celiac disease or Crohns disease Reviewing long-term medicines (such as PPIs or metformin) with a doctor Reducing or stopping alcohol intake, if applicable When the main cause is treated properly, vitamin B12 absorption improves and long-term health outcomes are much better

These hormones regulate blood sugar, slow gastric emptying, reduce appetite, and influence how the body stores and burns fat

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Trouble focusing or memory lapses: With too little B12, your brain clouds up, making it hard to stay sharp or hold onto thoughts clearly