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Other groups who may benefit include: Patients following gastric surgery (gastrectomy, bariatric procedures) where intrinsic factor production or absorption sites are compromised Individuals with malabsorption disorders such as Crohn's disease, coeliac disease, or chronic pancreatitis Strict vegans and vegetarians with dietary insufficiency, though oral supplementation is usually tried first Elderly patients with atrophic gastritis or reduced gastric acid production Patients on long-term metformin or proton pump inhibitors, which can impair B12 absorption Individuals with nitrous oxide exposure (recreational or medical), which can cause functional B12 deficiency Diagnosis typically involves serum B12 measurement, with levels below approximately 148 pmol/L (though thresholds vary between laboratories) generally indicating deficiency

Good food sources of vitamin B12 include organic meats, beef, poultry, milk, shellfish, fish, eggs, dairy products, wheat germ, soybeans, fortified cereals, orange juice, oranges, and nutritional yeast

What Causes Vitamin B12 Deficiency Anemia

B12 Injections for General Wellness People are looking for new ways to stay healthy, and B12 injections are becoming popular