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Our team can also advise on whether a blood test makes sense before your appointment

Additional risk factors include: Chronic kidney disease : Reduced renal clearance may impair B12 excretion Liver disease : Hepatic dysfunction can disrupt B12 metabolism and storage Myeloproliferative disorders : Certain blood cancers increase B12-binding proteins Concurrent medication use : Some drugs may interact with B12 metabolism, including metformin, proton pump inhibitors, and H2 antagonists Patients with these conditions should have B12 supplementation carefully monitored by their healthcare team

Food and Drug Administration (FDA) for the diagnosis, treatment, cure, or prevention of any disease or medical condition

Very timely delivery

Cochrane Database Syst Rev 2003;(3):CD004326

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