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Am J Physiol Endocrinol Metab

Two other surrogate markers of B12 deficiency are elevated homocysteine and MCV, although several other nutrient deficiencies can cause these levels to be elevated, so be sure to work with your provider when interpreting any lab test results

Sleeve gastrectomy is a procedure in which 7085% of the stomach is removed, resulting in a reduction in gastric reservoir size [51,52] and accelerated nutrient transit time, thus decreasing the absorption of nutrients [52]

Contact your GP if you experience: Persistent anxiety, panic attacks, or mood changes that interfere with daily functioning Physical symptoms accompanying anxiety, such as palpitations, chest tightness, breathlessness, or dizziness Neurological symptoms including numbness, tingling (paraesthesia), balance problems, or memory difficulties Symptoms that began shortly after starting B12 supplements or changing dosage Concerns about potential B12 deficiency (fatigue, pallor, glossitis, cognitive changes) Your GP can conduct a thorough assessment including medical history, medication review, and physical examination

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How to get a prescription for b12 shots If you find that B12 injections require a prescription in your area or if you prefer the guidance of a healthcare professional, obtaining a prescription is a straightforward process