Key Factors We Consider at Lifeline Primary Care: Underlying Cause of Deficiency: Our providers assess the root cause of your vitamin B12 deficiencywhether its due to pernicious anemia, malabsorption syndromes (such as Crohns disease or celiac disease), a history of gastric surgery, or dietary factors like strict veganism
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for example, isoniazid, cycloserine, penicillamine, and hydralazine each form complexes with B or otherwise interfere with B metabolism, potentially leading to deficiency and peripheral neuropathy
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Severe deficiency : Weekly or biweekly injections may initially be required to correct anemia and neurological symptoms