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You are at risk for B12 deficiency if you: Are a vegetarian Are a vegan Have chronic gastritis Have had previous surgery on your stomach Have any chronic bowel conditions, such as Chrons disease or colitis You take certain medications, such as proton pump inhibitors (PPI's) - a medicine sometimes used to treat heartburn and indigestion What are the signs and symptoms associated with a B12 deficiency

A typical example of Paradoxical B12 deficiency (as per Dynacare Plus) It has been known for over 40 years that measurements for serum vitamin B12 levels can be greatly distorted by the presence of of non-functional cobalamin analogues (Kolhouse etal, 1978

We encourage clinicians to engage in the measure development process

All amounts are total blend (about 50/50 per component)