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22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity

Most cases of vitamin B12 actually happen because your body doesn't absorb enough, not because you aren't getting enough

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The main job of this page is patient education and clinical context, especially where the topic touches tirzepatide, provider access, safety and pharmacy quality

It is best to discuss vitamin injections with a healthcare professional first

Megaloblastic anemia is commonly related to vitamin B 12 or folate deficiency