A member asked:

Tingle in hands and feet, fatigue, lightheaded, trouble thinking. been on 150mg zantac and 80 mg protonix 4 months now. could this be low b12?

2 doctors weighed in across 2 answers

Possible: Long term use of PPI(protonix) could cause decreased vitamin B12 absorption. You should be tested.

Answered 3/5/2017

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Certainly, vitamin deficiency could cause what you describe. The tingling could represent peripheral nerve problems, the thinking process perhaps cognitive clouding. Checking B-12 function would be one of several tests to consider.

Answered 3/19/2021

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