<human>: i have been taking pantocid for eight months for b 12 deficiency related acidity  .Inspite of taking pantocid i suffer from acidity sometimes , mostly when my b12 levels start falling down ( when i stop taking injections ). I am 42 years old female and weight 64 kg taking one pantocid tablet everyday. Please tell me that whether repeated acidity is due to b12 deficiency or pantocid side effects ?
<bot>: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Acidity is due to increased production of acid or reduced protection of mucosa due to mucosal changes. 2. Overweight, large meals, coffee, smoking, stress, medications etc. will cause acidity. Antacid alone cannot fully control. Certain lifestyle modifications is necessary to control the above causes to avoid repeated acidity.3. B12 deficiency does not cause acidity. Nutritional deficiency is the main cause. However, atrophic gastritis due to repeated antacid cause can lead to B12 deficiency. Continue with it B12 injections and control acidity. Hope it helps. Any further queries, happy to help again.