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There may be instances where certain conditions, such as poor nutrition, intestinal issues, infections, and cancer, may lead to B12 deficiency
If you do need to supplement, the next question is: what sort of supplement should you take
It has also been linked to low stomach acid and gastritis, each associated with decreased iron absorption and lower iron levels
Cardiovascular Patients and B12 Supplementation The link between vitamin B12 and heart health is complex
Your test result of 600 (there are two units of measurement used but neither would make you appear deficient) in April : it is possible to have a higher serum B12 result, yet not be able to utilise the B12 in your bloodstream because of a transport malfunction which means that your B12 cannot reach cells/tissue