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Interestingly, an altered balance of the different forms has been linked with cognitive impairment and psychiatric disorders 8,9,10

Unfortunately, some patients have difficulty absorbing an adequate amount of vitamin 12 because they do not produce enough stomach acid due to a condition called autoimmune atrophic gastritis which can cause a deficiency of vitamin B12

Vitamin B12 injections are often recommended for individuals who are unable to meet their B12 requirements through diet alone, such as those following a vegan or vegetarian diet, individuals with malabsorption issues, or those with certain medical conditions