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Other indications include malabsorption disorders (such as Crohn's disease or coeliac disease), following gastric surgery, strict vegan diets without supplementation, and certain medications that interfere with B12 absorption

Traditionally, total serum vitamin B12 is often the first-line biochemical test used for routine screening for vitamin B12 deficiency

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Second, vomiting showed a clearer dose-dependent increase, rising from 13.0% at 6 mg to 24.0% at 36 mg
