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Common Symptoms of Low Vitamin B12 Vitamin B12 deficiency can develop gradually

Individual Variability The effectiveness of B12 injections can vary significantly between individuals

The greater-than-3-standard-deviation cutoff for serum MMA is generally around 350 nM/L and for homocysteine is 15 M/L (20 M/L in patients over age 60 years)

The following things can cause anaemia Pernicious anaemia Conditions that affect the stomach Surgery to remove all or part of the stomach (gastrectomy) Conditions that affect the intestines e.g crohns disease, Chronic gastritis (an autoimmune condition where the body attacks its own tissues) Lack of vitamins in your diet (Strict vegetarianism) Medicines (a doctor would monitor this with regular blood test to inform patient of B12 levels) Prophylaxis of macrocytic anaemia associated with vitamin B12 The below is recommended for diet related B12 deficiency

Interactions with Other Drugs Vitamin B12 can interact with several medications, so inform your healthcare provider about all the drugs you are taking

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