Common causes include: Pernicious anemia, an autoimmune disorder hindering Vitamin B12 absorption Gastrointestinal surgeries, like gastrectomy, impact Vitamin B12 uptake Long-term use of certain medications, such as metformin or proton pump inhibitors Diets lacking in Vitamin B12, often seen in vegans and vegetarians For those without a deficiency, Vitamin B12 injections are not typically recommended, as their body can naturally regulate and excrete excess amounts of the vitamin
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The CNCbl stock solutions were prepared monthly and the stock solutions of the other cobalamins were used within 2 months
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Cervical herniations Cervical disc herniations (most commonly C5-C6 and C6-C7) require extra caution due to the proximity of the spinal cord
Hematologic disorders like chronic myelogeneous leukemia, promyelocytic leukemia, polycythemia vera, and hypereosinophilic syndrome can present as elevated serum blood levels of vitamin B12, which is also known clinically as serum cobalamin, note the authors of a 2013 research review published in the journal Clinical Biochemistry