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The Mayo Clinic shares that those most at risk of low levels include (5): people who dont consume enough vitamin B12 in their diet people diagnosed with pernicious anemia people whove had gastric surgeries people with intestinal issues, such as celiac or Crohns disease People following a vegetarian diet are especially at risk of deficiency

Serum B12 levels below 200 pg/mL generally indicate deficiency, while levels between 200-300 pg/mL represent an indeterminate zone where additional testing (methylmalonic acid, homocysteine) may clarify status

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Not intended for human consumption .

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B12 is not a cure for clinical depression or anxiety, so persistent mood symptoms should be evaluated by a provider