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Because these medications affect the way the body digests food, they can also cause disruptive gastrointestinal side effects, including a loss of appetite, stomach upset, nausea, vomiting, or diarrhea

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However, deficiency is common, especially in people with low stomach acid, digestive conditions, vegan or vegetarian diets, or age-related absorption decline

Without enough B12, you may experience fatigue, brain fog, low mood, or even anemia