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While oral supplements are an option, they still have to go through the digestive system, where absorption issues can get in the way

So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms

This involves: Reviewing Medical History: A comprehensive review of the patient's medical history, including any pre-existing conditions such as heart disease, diabetes, or kidney problems, is crucial to identify potential contraindications or risk factors

Available from: deficiency&search=vitamin%20b12%20deficiency%20gatric%20resection&topicRef=7155&anchor=H1540931056&source=see_link#H1540931056 TOP Abbreviation Diagnostic code Vitamin B 12 : 92450 Folate: 281.2 Associated Document List of contributors (PDF, 59KB) Practitioner Resources RACE: Rapid Access to Consultative Expertise Program www.raceconnect.ca RACE means timely telephone advice from specialist for Physicians, Medical Residents, Nurse Practitioners, Midwives, all in one phone call