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Causes of Vitamin B12 Deficiency Inadequate dietary intake Malabsorption disorders Insufficient stomach acid Surgical procedures Autoimmune conditions Medications Age-related factors Inadequate dietary intake Vitamin B12 is found only in animal products such as eggs, meat, fish, and dairy products, but vegans and vegetarians do not consume animal products, therefore it is easy to develop vitamin B12 deficiency

158 SamudioI.KurinnaS.RuvoloP.KorchinB.KantarjianH.BeranM.et al (2008)

Cognitive techniques from CBT can help to identify and challenge general and diabetes-specific cognitive distortions resulting in maladaptive behavior and are usually complemented with behavioral techniques, including behavioral activation and specific behavioral change strategies related to diabetes and mood [218]

These therapies are ideal for those seeking to reduce pain, avoid surgery, or heal from injury at the source