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However, this is a complex process and isnt exclusive to B12 deficiency neuropathy

Groups at higher risk of deficiency include older adults (due to reduced stomach acid production), people following vegan or strict vegetarian diets (as B12 is naturally found almost exclusively in animal products), individuals with pernicious anaemia or other malabsorption conditions, those taking certain medications such as metformin or proton pump inhibitors long-term, and people with significant nitrous oxide exposure (including recreational use), which can inactivate B12 in the body

doi: 10.1530/eje.0.1390552

It is crucial to inform your healthcare provider of any other medical conditions that you may have before starting this medication

[12] [8] References [edit] 1 2 "Pericardial Anatomy, Interventions and Therapeutics: A Contemporary Review"