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It is important to consult a provider about all supplements and medications to avoid potential interactions

You could also have blood tests done to determine your current B12 levels

If yes, refer to the appropriate specialist depending on symptoms

In cases where the diagnosis is still unclear after initial testing, other lab tests, such as MMA and homocysteine levels, are available

One would surely argue that some groups are more at risk for B12 deficiencies and could, therefore, benefit from injections: vegetarians and vegans have impaired B12 absorption due to changes from diet, while older adults have changes due to aging

Keep track of all supplements and treatments being used