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Aside from vegetarians, people at risk for a deficiency include those with pernicious anemia, people who have had intestinal surgery such as gastric bypass, those with Crohns or celiac disease, and anyone whose stomach does not produce enough hydrochloric acid to absorb the vitamin B12 thats naturally present in food

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If B12 is above 1500 pg/mL with no supplement history, I usually repeat within 2-4 weeks and add CBC with differential, CMP, creatinine/eGFR and CRP

Each patients treatment plan will be customized to their aesthetic goals during their consultation