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Retrieved May 3, 2025, from (Cautions that people with low blood pressure or a history of gout should not take niacin/niacinamide due to risk of hypotension and hyperuricemia

Chronic enteropathy distal ileal malabsorption (often alongside tylosin or metronidazole)

Previous studies that defined healthy amounts of B12 may have missed subtle functional manifestations of high or low levels that can affect people without causing overt symptoms, said Green, noting that clear deficiencies of the vitamin are commonly associated with a type of anemia

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Vitamin B12 plays a vital role in producing serotonin, a hormone that regulates mood and can help to alleviate symptoms of depression

If this is not effective, a high-fiber diet is tried