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Regular monitoring and adjustment of the dosage are essential to prevent deficiency and maintain optimal health

While the IOM had based B12 needs on the amount required to correct hematological parameters for people with pernicious anemia, the EFSA had almost 20 more years of research to draw on, and concluded that the most suitable approach was basing needs on biomarkers (serum B12, holotranscobalamin, MMA, and homocysteine)

The Schillings test and other options Introduction Once the diagnosis of B12 deficiency has been established the next question is to understand why the patient suffers from this condition

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This protein is needed for B12 to be absorbed in the stomach

The 4 stages of B12 deficiency are as follows: Stage 1: Low levels of vitamin B12 on blood test, but no symptoms