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Measurement of total vitamin B12 and holotranscobalamin, singly and in combination, in screening for metabolic vitamin B12 deficiency

However, alcohol consumption can interfere with the body's ability to absorb and utilize iron effectively

Patients With Normal Intestinal Absorption Where the oral route is not deemed adequate, initial treatment similar to that for patients with pernicious anemia may be indicated depending on the severity of the deficiency

These conditions may include, but are not limited to: A family history of eye problems Any active infection Iron or folic acid deficiency Kidney disease Liver disease Alcohol: Avoid drinking large amounts of alcohol while getting Vitamin B12 treatment