Kidney Dysfunction: While the kidneys do not directly excrete vitamin B12 efficiently, impaired renal function may lead to elevated serum B12 levels by reducing the clearance of B12-binding proteins or altering their metabolism, thereby contributing to B12 accumulation 8
In this case, your doctor may order other tests such as methylmalonic acid, homocysteine and C-reactive protein to better understand your vitamin B12 levels
These formulations have limited evidence supporting their superiority over standard oral tablets
Yes, the senior one at the practice
B12 deficiency can occur for several reasons, including- Dietary Restrictions- People following strict vegetarian or vegan diets may not consume enough B12-rich foods, leading to deficiency
When neurological symptoms are present, treatment should be initiated promptly and not delayed pending test results