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Fewer US adults had low or transitional vitamin B 12 status based on the novel combined indicator of vitamin B 12 status compared with individual, conventional markers, NHANES 19992004

You can ask your doctor to do a blood test if you're worried you may have a vitamin B12 deficiency.

That second pathway explains why prolonged deficiency causes neurological damage and not simply anaemia

Patients should avoid ingesting large amounts of vitamin C within 1 hour of oral vitamin B12 administration Extended release potassium products Antibiotics such as gentamicin, neomycin, tobramycin Anti-seizure medications such as phenobarbital, phenytoin, primidone Medicines used to treat heartburn like H2 blockers such as cimetidine and proton pump inhibitors such as omeprazole Antacids such as ranitidine, cimetidine Vitamin B12 Injection Storage and Safety Information Vitamin B12 tablets should be in a cool and dry place