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24 Table 3 Estimated Sensitivity and Specificity of Serum Laboratory Tests for Vitamin B12 Deficiency Pernicious anemia refers to one of the hematologic manifestations of chronic auto-immune gastritis, in which the immune system targets the parietal cells of the stomach or intrinsic factor itself, leading to decreased absorption of vitamin B 12

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Vegetarians and Vegans Since B12 is primarily found in animal products, vegetarians and vegans are at a higher risk of deficiency

Headache is reported by approximately five to ten percent of patients, though this often improves with continued treatment

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Additional Information B12 + MIC injections combine vitamin B12 with lipotropic compounds (Methionine, Inositol, and Choline) to support metabolism, fat loss, and energy levels