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Moving Forward If your vitamin B12 test shows that your levels are healthy, you dont need to do anything but keep eating a balanced diet

My appetite has decreased, not to the point of starvation, but rather, a half a sandwich and salad is filling

The combination of multiple medications affecting gastrointestinal motility should be carefully evaluated, and patients should be monitored for both efficacy and tolerability

Wrinkle reduction: Badenhorst et al

People taking heartburn medication, such as proton pump inhibitors, are at a higher risk for B12 deficiency and may benefit from alternative therapies to control/eliminate the heartburn or have regular Nutrient IV therapies and/or Vitamin B12 injections Elderly Vegans Vegetarians People with tapeworms Alcoholics Excessive use of antibiotics Excessive use of anti-convulsant medication Daily consumption of Aspirin may increase the risk for vitamin B12 deficiency