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Physical Symptoms of Vitamin B12 Deficiency Fatigue and weakness Pale skin Shortness of breath Nerve problems Mouth ulcers Digestive issues Vision problems Mobility difficulties Cognitive Symptoms of Vitamin B12 Deficiency Peripheral Neuropathy Cognitive Disturbances Memory Problems Reversible Dementia Confusion Decreased Problem Solving Psychiatric Symptoms of Vitamin B12 Deficiency Depression Anxiety Intrusive Thoughts Irritability Psychosis Inattention Insomnia Panic attacks Treatment of Vitamin B12 Deficiency It has been observed that oral administration of high-dose vitamin B12 (1 to 2 mg daily) is as effective as intramuscular administration for correcting anemia and neurologic symptoms

however, studies on the direct impact of PPI on the activity of BSH and 7-dehydroxylase are limited ( The relationship between PPIs and infectious diseases of the biliary system has been discussed in several clinical studies (Min et al., 2019)

Cell Metabolism, 17 (6), 819837

GHK-Cu stimulates the follicle to grow