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Vitamin B12also known as cobalaminis an essential nutrient that supports red blood cell production, nerve function, and DNA synthesis

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Restoring a deficiency can help you feel like yourself again, but if your levels are already normal, adding more B12 will not create extra energy or other effects your body cannot use

In rare instances, subacute cutaneous lupus erythematosus (SCLE) cases have been reported in patients using proton pump inhibitors (PPIs)

Certain medical conditions and medications increase B12 requirements: Long-term use of metformin (diabetes medication) or proton pump inhibitors (PPIs for acid reflux) can impair B12 absorption [13] [14] Gastrointestinal conditions such as Crohn's disease, coeliac disease, or previous gastric surgery Autoimmune conditions beyond pernicious anaemia may affect B12 metabolism When to contact your GP : If you are taking B12 supplements or receiving injections but continue to experience symptoms, request a review