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Where your body just doesnt seem to burn fuel the way it once did even when youre eating right and moving regularly
Absorption can also be inhibited by poorly functioning kidneys, cigarette smoke, nitrous oxide used for anaesthesia, heating food in a microwave or cooker and some medications, including Metformin (for diabetes), anticonvulsants and proton pump inhibitors (PPIs)
[2] Key mechanisms that can elevate serum B12 include: Increased release from damaged tissues (particularly liver disease) Overproduction or abnormal binding to transport proteins (transcobalamins and haptocorrin) Reduced cellular uptake despite adequate circulating levels Haematological disorders affecting B12 metabolism Supplementation, though this rarely causes concern in isolation It is important to understand that elevated B12 is not a disease itself but rather a biochemical finding that may indicate various underlying conditions
The most widely discussed change is facial volume loss
