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Chin J Clin Infect Dis

Research use only (not for human or veterinary use) Every cell relies on a carefully regulated network of metabolic pathways to produce, utilise and manage energy

Therese B12 levels measure all forms of B12 in your system, not just the active forms, and there are something like 25-27 steps involved in converting the b12 you injest into the active forms, primarily methyl b12

If a person has both low b12 and low iron then their red blood cells may appear to be normal sized with normal range MCV and MCH due to the effects of the iron deficiency masking the effects of the B12 deficiency

Certain medications The following drugs can reduce levels of vitamin B12 in your body: Antibiotics -- long-term use can lower vitamin B levels generally Anti-seizure drugs Chemotherapy medicines, especially methotrexate Drugs used to reduce stomach acid, like H2 blockers (Pepcid AC, Tagamet, Zantac) and proton pump inhibitors (Nexium, Prevacid, Prilosec) Metformin (Glucophage) -- taken for diabetes Colchicine -- taken for gout Some cholesterol-lowering medications Other causes You're over 65

Are there any other reasons B12 injections are given