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However, its advisable to consult with a qualified provider before starting any new supplement regimen, especially if you have existing health conditions or are taking medications

Too much alcohol can also prevent you from getting enough calories

Common reasons include: Pernicious anemia , an autoimmune condition affecting intrinsic factor production Gastrointestinal disorders, such as Crohns disease or celiac disease Prolonged use of certain medications, like proton pump inhibitors Knowing these causes helps spot at-risk people

Best tests to determine B12 deficiency & need Methylmalonic Acid (MMA) Homocysteine Active B12 (Holotranscobalamin - holoTC) If both the MMA and Homocysteine test results are high, then you may not be getting enough B12 intracellularly (even if your blood serum tests show B12 as high) Unfortunately most medical professionals test for B12 sufficiency using a blood serum test