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The best approach depends on the underlying cause of the deficiency

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Proton-pump inhibitors (e.g., omeprazole, esomeprazole, and lansoprazole), used to treat Zollinger-Ellison syndrome and gastroesophageal reflux disease (GERD), markedly decrease stomach acid secretion required for the release of vitamin B 12 from food but not from supplements
Some research suggests that antidepressants work better when a patient also receives added Vitamin B12
