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If you suspect a B12 deficiency or have ongoing symptoms, seek appropriate medical evaluation and lab-guided care

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Consult a healthcare provider for guidance

Heat and light can degrade the vitamin, so a poorly stored vial may be weaker than it should be

53 Low B 12 concentrations in the body may be present in different pathophysiological situations, including pregnancy, old age, smoking, and comorbidities such as hypertension, diabetes mellitus, pancreatic insufficiency, autoimmune gastritis, gastrectomy or gastric bypass, diseases or resection of the ileum, bacterial overgrowth, celiac disease, inflammatory bowel disease, or uremia-related malnutrition