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Medical Conditions, Surgeries, and Medications Lack of intrinsic factor (a protein made in the stomach thats needed for B12 absorption) - this condition is called pernicious anemia Thyroid disease HIV/AIDS (human immunodeficiency virus/acquired immunodeficiency syndrome) Autoimmune diseases like type 1 diabetes, where the immune system in the body attacks its own tissues Gastric bypass surgery (weight loss surgery) Chronic gastritis surgery Certain medications like heartburn drugs (proton pump inhibitors) which reduce stomach acid production Who Is At Risk of Vitamin B12 Deficiency

I had a blood test recently that revealed excess vitamin B12

Pernicious Anemia Pernicious anemia is a condition where the body cannot absorb vitamin B12 effectively due to a lack of intrinsic factor.This can lead to fatigue, weakness, and neurological symptoms.B12 Lipo Shots bypass the digestive system, delivering B12 directly into the bloodstream, effectively restoring normal B12 levels and alleviating symptoms

[2] However, elevated MMA is not conclusive, as it is seen in people with B 12 deficiency, but also in elderly people who have renal insufficiency, [28] and elevated homocysteine is not conclusive, as it is also seen in people with folate deficiency