b12 injections and acid reflux Vitamin deficiency cognitive impairment: A comprehensive review of neurological impact Worsening acid reflux throughout treatment

Youre on a medication that limits B12 absorption A wide range of common meds can mess with your bodys ability to absorb vitamin B12 including Antibiotics such as neomycin Diabetes medications such as metformin Gastric acid inhibitors such as the proton pump inhibitors omeprazole (Prilosec) and lansoprazole (Prevacid) Antihistamines and antacids such as cimetidine (Tagamet) and ranitidine (Zantac) 5

NNMT methylates nicotinamide using SAM as a methyl donor

This removes any ambiguity about when the medication needs to be replaced

Signs of low vitamin B12 include: Fatigue Nausea Throwing up Diarrhea Losing weight without trying A sore tongue A yellow tinge to your skin Fuzzy thinking Numbness or tingling in your hands and feet Vision changes Trouble walking or speaking Feeling easily irritated Confusion Depression Many conditions share these same symptoms