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Further evidence suggests the need to rationalise the use of vitamin be 12 in general practice

Those who may benefit from B12 shots include older adults, vegans, vegetarians, and individuals who have a digestive issue or metabolic limitation that interferes with their bodys natural absorption of vitamins

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[2] For this reason, elevated serum homocysteine over 15 micromol/L and methylmalonic acid (MMA) over 0.271 micromol/L are considered better indicators of B 12 deficiency, rather than relying only on the concentration of B 12 in blood