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Nutritional imbalances, including low B12 levels, are becoming increasingly common due to: Highly processed diets Use of acid-reducing medications Digestive disorders (like IBS or celiac disease) Vegetarian or vegan diets without proper supplementation In suburban communities like Troy, MI, where fast-paced lifestyles often limit dietary variety, its easy to overlook vitamin levels until symptoms appear

The use of anti-infective agents or pyrimethamine may invalidate diagnostic assays for folic acid and vitamin B12

Oral B12 relies on stomach acid, digestive enzymes, and a healthy gut lining