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Certain medications may also interfere with absorption and cause deficiency, in particular, medicines prescribed for heartburn, antibiotics, blood pressure medicine, cholesterol-lowering drugs, diabetes medications and antipsychotic drugs
Even when the diagnosis is correct, the absence of a lab result supporting that diagnosis creates a medical necessity audit vulnerability
(PubMed) Clarke R, Smith AD, Jobst KA, Refsum H, Sutton L, Ueland PM
They do say try hard to relax your arm as that can make a difference