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Such deficiencies are caused by several factors, including pernicious anemia, which constitutes a minority of cases, poor dietary intake, or food-bound cobalamin malabsorption (FBCM) (, )

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In this category, disorders include Crohns disease, Coeliac disease, and previous gastric surgery that interfere with the absorption of B12

Additionally, Vitamin B12 helps regulate stress and anxiety, contributing to emotional balance and well-being

No regulatory approvals exist for this indication

Vitamin B12 is also frequently promoted for cosmetic and wellbeing purposes, including enhancing hair growth, improving energy and aiding sleep