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A more likely reason for deficiency would be low absorption in the gut, probably because of pernicious anemia or another condition

5) Other Medical Conditions Persistently high vitamin B12 has been observed in some cancers and in certain chronic inflammatory conditions

10.12688/f1000research.12110.1

People who have had bariatric surgery Previous bariatric surgery, particularly gastric bypass, permanently alters the digestive anatomy in ways that reduce B12 absorption

High-sodium processed foods, excessive caffeine, alcohol, and refined sugars all contribute to dizziness

Pernicious Anemia: Treats this specific type of anemia where the body cannot absorb enough B12 from food