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Drug/Laboratory Test Interactions Persons taking most antibiotics, methotrexate and pyrimethamine invalidate folic acid and vitamin B 12diagnostic blood assays

A 2019 study published in Frontiers in Endocrinology looked at over 9,000 adults and discovered that serum B12 concentrations were lower among obese adults than non-obese adults 7

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Information for Patients: Patients with pernicious anemia should be informed that they will require monthly injections of vitamin B 12 for the remainder of their lives

In the absence of impaired kidney function, an elevated MMA level in conjunction with elevated homocysteine suggests either a vitamin B 12 deficiency or a combined vitamin B 12 and folate deficiency (32)

Patients on Metformin : Patients with type 2 diabetes treated with metformin may experience reduced vitamin B12 absorption