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If you dont get enough vitamin B12, you might feel lethargic, fatigued, and worn out all the time

[12] Gastric acid-suppressing agents (proton-pump inhibitors and H-receptor antagonists) diminish dietary B12 liberation from protein complexes, a pharmacodynamic interaction that can exacerbate underlying deficiency

For mild symptoms, only lifestyle and dietary modifications may be required

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Some of these dogs also showed clinical signs suggestive of enteropathy, such as diarrhea and a failure to gain weight