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[10] Initial assessment involves: Detailed medical history, including dietary habits and gastrointestinal symptoms Medication review (certain drugs like metformin and proton pump inhibitors can affect B12 absorption) [20] [21] Family history of pernicious anaemia or autoimmune conditions Physical examination for signs of anaemia or neurological abnormalities Laboratory investigations typically include: Serum vitamin B12 level: The primary test, though interpretation can be complex

Consuming alcoholic drinks may negatively impact your vitamin B12 levels in several ways: Impair vitamin B12 absorption Alcohol damages the mucosal lining of the stomach and intestines

This method uses a scanner to produce sophisticated intracellular data to highlight what supplements would benefit the patient in order to boost their health, vitality and immunity