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FBCM is currently considered to be the most common cause of vitamin B12 deficiency, caused by impairment in the release of the vitamin from food, commonly because of conditions such as gastritis, achlorhydria, gastrectomy, use of antacids, or proton pump inhibitors (PPIs), gastric atrophy in the elderly, and Helicobacter pylori infection (, )

This also applies to any undesirable effect that is not mentioned in this leaflet

Vitamin B12 can lift energy and mood, especially if you have a deficiency

Note: If youve shown clinical symptoms of B12 deficiency or have a digestive condition that might cause malabsorption, talk to a doctor about a regimen tailored to best fit your situation