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Some reasons your body may not be able to get enough B12 from food include: Anemia Gastritis Crohns disease Celiac disease Alcohol use disorder Sjgrens syndrome Weight loss surgery, or surgery that removes part or all of your stomach A vegan or strict vegetarian diet (as B12 is only found in animal products) Medications, such as metformin and drugs used to treat gastroesophageal reflux disease (GERD), indigestion, and stomach ulcers Pregnancy Your doctor could also order a B12 test based on your symptoms

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Vitamin B12 helps your body produce red blood cells and DNA cells, it also helps with nerve function and cell metabolism

Lethargy Muscle weakness Mood swings Memory loss Tingling in the fingers and toes Weight gain Though B12 is found in many different foods, including meat, eggs, and fortified grains, it may be difficult to get enough of this nutrient from your diet, especially if you are following a specific diet for weight loss

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Niacin ameliorates oxidative stress, inflammation, proteinuria, and hypertension in rats with chronic renal failure