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doi:10.1155/2016/5928758 Wu H, Kan H, Li C, et al

J Hematol Oncol

This case shows that vitamin B 12 deficiency can induce orthostatic hypotension and syncope that are correctable by vitamin B 12 replacement

Patients taking long-term medications that reduce stomach acid, including proton pump inhibitors (omeprazole, lansoprazole) or H2-receptor antagonists (famotidine), may also develop deficiency after several years of use