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Since vitamin B12 is primarily found in animal products, those who avoid meat, dairy, or eggs may develop low B12 levels over time

If all three are in place, I proceed

It should be noted that, if this condition occurs, there will be a rapid decrease in these markers after treatment with B12, and this should be monitored

Other tests may include evaluating gastric health, checking for parasites or bacterial overgrowth in the intestines, and assessing genetic factors that affect vitamin B12 absorption

Pernicious anemia results from the destruction of the gastric parietal cells, with subsequent loss of intrinsic factor which leads to an inability to absorb vitamin B 12