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You are at risk for B12 deficiency if you: Are a vegetarian Are a vegan Have chronic gastritis Have had previous surgery on your stomach Have any chronic bowel conditions, such as Chrons disease or colitis You take certain medications, such as proton pump inhibitors (PPI's) - a medicine sometimes used to treat heartburn and indigestion What are the signs and symptoms associated with a B12 deficiency

Verify it

In animal models , this interaction has demonstrated stimulation of hormone-related pathways and reproductive signaling

An elevated serum vitamin B12 is best interpreted against the laboratory's own reference ranges and assay context, with attention to the source-sensitive details along the way and escalation to targeted testing or specialty referral reserved for when a clinician-guided pathway supports it

If it is not, he will tell you directly and recommend an alternative

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