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Like many other nutrient deficiencies and complex medical problems, it boils down to physician and patient oversimplification of the problem

This complex process means that conditions affecting the stomach or intestines can significantly impair B12 absorption, including pernicious anaemia, atrophic gastritis, previous gastric surgery, coeliac disease, Crohn's disease, and long-term use of certain medications (such as metformin, proton pump inhibitors, and H2 antagonists)

Here are the steps to take: Review the denial letter to understand the reasons

Smoking: Nicotine is a stimulant and can interfere with sleep