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Common Causes of B12 Deficiency Document the cause of B12 deficiency to support the specific code : Pernicious anemia Autoimmune destruction of stomach cells Gastrectomy or weight loss surgery Loss of intrinsic factor production Strict vegetarian diet Inadequate dietary intake Crohns disease or celiac disease Malabsorption in the small intestine Chronic pancreatitis Insufficient pancreatic enzymes Bacterial overgrowth in the small intestine Bacteria consume B12 Long-term metformin use Interferes with B12 absorption Neurologic Symptoms in B12 Deficiency B12 deficiency causes nerve damage

If oral supplements are not sufficient or absorption is compromised, periodic B12 injections may be recommended by our healthcare providers

A blood test tells you whether you are actually low, so you are treating a real need, not guessing

The arginine salt provides substrate for nitric oxide synthesis, which further enhances blood flow to healing tissues

Has given me great energy The Lipo B12 shots are amazing