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In gut models, it steadies the gut-brain link through the vagus nerve and helps the gut lining make protective mucus

FDA-approved medication pathways require evaluation by licensed medical professionals

Common causes include: Pernicious anemia, an autoimmune disorder hindering Vitamin B12 absorption Gastrointestinal surgeries, like gastrectomy, impact Vitamin B12 uptake Long-term use of certain medications, such as metformin or proton pump inhibitors Diets lacking in Vitamin B12, often seen in vegans and vegetarians For those without a deficiency, Vitamin B12 injections are not typically recommended, as their body can naturally regulate and excrete excess amounts of the vitamin

The Pernicious Anaemia Society notes this is recognised but not fully understood