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26 If the B 12 is normal (rare probability of B 12 deficiency see Table 3: B 12 Medication Table ), a repeat investigation is not required in the absence of new signs of disease

Common things that can negatively impact vitamin B12 absorption and transportation: Strict vegan diet Low stomach acid diet Pancreatic insufficiency Intrinsic factor antibodies Slow TCNs - Fortified foods with synthetic folic acid SIBO Celiac Disease Crohns Vitamin B12 Supplements Vitamin B12 dietary supplements are very common

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