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When I tried to find evidence of serious long-term harm in the published literature, the data does not support widespread concern for the average healthy adult who qualifies for these medications

However, certain medications can affect B12 absorption, including metformin (used for diabetes), proton pump inhibitors, H2-receptor antagonists, and colchicine

If you also experience nausea, fatigue, or hair loss alongside period irregularity, your body may be losing weight too rapidly or missing essential nutrients