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Description
A person can have high total B12 but poor intracellular use, especially when MMA is high, homocysteine is high, or there are neurologic symptoms such as numbness or gait trouble

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Doctor lists symptoms of vitamin B12 deficiency 1769444189yxm82Uim Vitamin B12 deficiency symptoms occur when a person hasnt been getting enough of the vitamin through their diet

Those most at risk include vegans and vegetarians, people with digestive conditions such as Crohn's disease, coeliac disease or IBS, those taking long-term metformin or proton pump inhibitors, older adults whose ability to absorb B12 through the gut declines naturally with age, those with pernicious anaemia, and anyone with a history of chronic alcohol use
