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Proton pump inhibitors and H2 receptor antagonists, commonly used for gastroesophageal reflux disease and peptic ulcer disease, may affect vitamin B12 status through multiple mechanisms

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Heres why: Vitamins B1, B2, B3 (Thiamine, Riboflavin, Niacin) Needed for energy production Help the body process carbohydrates, fats and proteins Support the nervous system and mitochondrial function Niacinamide (a form of B3) is also used topically for acne due to its anti-inflammatory benefits Symptoms of deficiencies may include: Fatigue Cracked corners of the lips Inflammation of the tongue (glossitis) Skin problems like dermatitis Note: High doses of certain forms of niacin can trigger flushing, which may feel like its worsening skin conditions like rosacea

B12 Injections vs Oral Supplements: Which Is Better

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