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Common causes of B12 deficiency can include: Limited dietary intake (common in strict vegan or vegetarian diets) Pernicious anemia, an autoimmune condition that prevents proper B12 absorption in the stomach Gastrointestinal surgeries that remove part of the stomach or small intestine Age-related declines in stomach acid production Long-term use of certain medications, such as metformin or proton pump inhibitors, which can reduce the bodys ability to properly absorb vitamin B12

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In a 2022 study of 191 people with mostly moderate to severe tinnitus, published in the journal Scientific Reports , 70 percent of those who used Lenire for an hour a day for 12 weeks reported a benefit

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Be especially careful if you have Lebers Disease as Vitamin B12 has been known to cause swift optic nerve atrophy
