Cause of Low B12 levels Pernicious anaemia vegan diet malabsorption syndromes coeliac sprue Crohn's ulcerative colitis (UC) "food-bound cobalamin malabsorption syndrome" predisposing factors include atrophic gastritis, long term proton pump inhibitor or H2 antagnoist use, chronic alcoholism, gastrectomy/gastric bypass surgery, pancreatic exocrine failure, AIDS myeloma (paraprotein related assay interference) pregnancy combined oral contraceptive pill/HRT pancreatric insufficiency metformin, acute phase situations
the BDNF paradox (SSRIs generally raise BDNF and hippocampal neurogenesis via 5-HT1A/5-HT4 signalling, so antidepressant fog is not a synapse-deficiency a peptide refills)
Zanr V, Campagnari R, Cerulli A, Masullo M, Cardile A, Piacente S, et al
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