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Another primary function of B12 is the production of energy for the body

Rubino, D

2012;94(Suppl 1):3944

A list of common conditions besides pernicious anemia associated with a B12 deficiency includes the following: Crohns disease Celiac disease Atrophic gastritis, otherwise known as a thinning of the stomach lining Bacteria or parasites in the intestines Immune system disorders, including Graves disease and lupus Inflammatory bowel disease (IBD) Medications Medications can also interfere with B12 absorption, such as some heartburn medicines and proton pump inhibitors prescribed to diabetics

As always, the specific product's own labeling or your prescriber's guidance should be the deciding factor, since the right diluent can vary by compound even within these general patterns