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Common symptoms of Vitamin B12 deficiency include: Fatigue Nervousness Numbness in the arms and legs Tingling in the arms and legs Anemia and Pernicious Anemia Weakness Neuro-Cognitive Decline There are many common medications, medical procedures and medical conditions that may lead to Vitamin B12 deficiency including: Medications , Prilosec and other proton-pump inhibitors that are used to treat heartburn and ulcers Prevacid , Pepcid and other H2 receptor antagonists that are used to treat ulcers Zantac that is used to treat diabetes Metformin Medical procedures Gastrointestinal surgery such as or surgery to remove all or part of the stomach weight loss surgery Medical conditions Gastrointestinal disorders including Crohns and celiac disease Pernicious anemia Atrophic gastritis Other reasons Age Vegetarian or vegan diet Recent research has also shown that there is an inverse association between Vitamin B12 status and obesity which means that the higher your weight, the more likely you are to be deficient in Vitamin B12 (reference)

The pharmacy I use is US-based, cGMP-certified, and issues a certificate of analysis with every batch

A vitamin B12 injection at Elements Medical is particularly well-suited to people in the following groups: Vegetarians and vegans B12 is found almost exclusively in animal-derived foods

As for ingredients, the slightly higher caffeine concentration in 5-Hour Energy may prove enticing if you're in need of a significant boost each day

The results of the last two studies indicated that the effect of B12 on tHcy should be measured in patients with normal serum folate

The resulting chromatogram provides researchers with a visual representation of purity