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It also supports energy metabolism and helps the body manage stress effectively

Patients receiving long-term therapy with omeprazole or other proton pump inhibitors (PPIs) should be monitored for signs of B12deficiency

They stay in the body longer than cyanocobalamin

There are four main physiological causes of palpitations: Extra-cardiac stimulation of the sympathetic nervous system (SNS), resulting in excess production of catecholamines and cortisol

This early response may reflect the body's immediate utilisation of available B12 for urgent metabolic processes

If you had neuropathic symptoms (like numbness or tingling in hands/feet due to low B or B), you might find those sensations gradually improving over a few weeks of therapy