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Complex medical conditions Youre much more likely to need lab work before or during vitamin/IV plans if you have: Chronic kidney disease Significant liver disease A history of bone disease or very low bone density Digestive conditions that affect nutrient absorption A long list of medications that interact with vitamins and minerals In these situations, labs help your provider understand how your body is handling nutrients and guide more precise decisions
Some medications such as anticonvulsants and proton pump inhibitors, can also increase the likelihood of B12 deficiency through varied mechanisms
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