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Medical Conditions, Surgeries, and Medications Lack of intrinsic factor (a protein made in the stomach thats needed for B12 absorption) - this condition is called pernicious anemia Thyroid disease HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Autoimmune diseases like type 1 diabetes, where the immune system in the body attacks its own tissues Gastric bypass surgery (weight loss surgery) Chronic gastritis surgery Certain medications like heartburn drugs (proton pump inhibitors) which reduce stomach acid production Who Is At Risk of Vitamin B12 Deficiency

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When Prozac May Be a Better Fit Prozac may be more effective for: OCD Panic disorder Bulimia Long term treatment needs Prozac is generally energizing, which can benefit individuals with low motivation or certain types of depression

Data from 81 selected studies were extracted and analyzed, focusing on mental health outcomes and reported adverse effects