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Therefore, its essential to consult with a healthcare professional before starting supplementation, especially if you have a history of anxiety disorders

Now imagine someone with diabetes, on metformin and antacids, deciding to add a daily B12 pill without checking interactions

If you suspect that you are B12 deficient or think that you might benefit from a course of B12 injections, then dont hesitate

The dramatic presentation and response of patients with fullblown vitamin B 12 deficiency provides some insight into recognizing diagnostic pitfalls

Medicine 1991;70:229-244

Also stress , be it physical or mental can deplete B12