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4,5 Dietary insufficiency, pernicious anemia (i.e., an autoimmune process that reduces available intrinsic factor and subsequent absorption of vitamin B 12 1,2,6,7 ), and long-term use of metformin or acid-suppressing medications have been implicated in B 12 deficiency
Therefore a B12 deficiency may lead to decreased serotonin production, which in turn may cause a depressed mood
But people who avoid animal products can get an adequate supply through fortified breakfast cereals and nutritional yeast
A., Zheng, D., Shibolet, O
