D51.8 Other Vitamin B12 Deficiency Anemias Use for B12 deficiency from causes not classified elsewhere, such as post-gastrectomy, ileal resection, Crohn disease-related malabsorption, bacterial overgrowth, or long-term medication effects (metformin, proton pump inhibitors, H2 blockers)
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Conversely, medications like metformin, H2 blockers, and proton pump inhibitors can reduce the absorption of Vitamin B12
That drop tracks closely with the kind of fatigue, brain fog, and slower recovery that most people write off as just getting older