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For example, long-term use of proton pump inhibitors (PPIs) or metformin can affect B12 absorption by altering stomach acidity or interfering with normal absorption processes

It helps restore productivity, improves feed utilization and supports recovery after illness, stress or disease

Some research from Germany has shown that an even higher threshold (over 500 pg/mL) is necessary in early-to-mid pregnancy to maintain vitamin B12 levels throughout pregnancy, lactation, and to support an infants vitamin B12 status (via breast milk) through 6 months of age

No matter the cause, its important to address leg pain at night to reduce the risk of further complications