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However, elevated MMA and homocysteine concentrations may persist in patients with cobalamin concentrations between 200 and 350 pg/mL

There are concerns about adherence to oral treatment, for example, if the person: Is older, is or has recently been in hospital and has either multimorbidity or frailty

Situations or conditions that can cause vitamin B12 deficiency include: You are more likely to develop vitamin B12 deficiency if you have one or more of the following risk factors: Left untreated, vitamin B12 deficiency can cause lasting side effects that affect your nervous system and brain

Most users don't see dramatic overnight changes but appreciate the steady support it offers when paired with the basics of good health