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This test should be used in conjunction with serum B12 and MMA and not as a sole measurement (11, 12)
If vitamin B12 levels are low, people may experience: Persistent tiredness or fatigue Reduced energy levels Difficulty concentrating Dizziness or weakness For this reason, some travellers consider a B12 injection before a summer holiday in the North West UK to support normal energy levels and reduce travel fatigue
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Absorption: Conditions like celiac disease, IBS, or pernicious anemia can affect how your body takes in B12
Other reasons include: bariatric surgery or bowel resection, age, those with GI diseases such as Crohns and Celiac, people taking Metformin to control their blood sugar and thos taking proton pump inhibitors (Prevacid, Prilosec, etc) for chronic heartburn
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