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In addition, the ability of your body to absorb vitamin B12 from food can be hindered by certain medications, such as metformin, proton pump inhibitors, and antacids

It is also caused by non-noxious stimuli such as light touch (allodynia) or exaggerated extent of mildly noxious stimuli (hyperalgesia)

However, when patients rely solely on medication without adjusting their lifestyle, they risk losing substantial lean mass, which can have long-term consequences for metabolic health, strength and overall function

Vitamin B 6 , folate, and vitamin B 12 regulate blood levels of homocysteine (see Homocysteine metabolism and Figure 1 above) an amino acid derived from methionine that may be associated with cognitive decline (155)