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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

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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

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