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Some causes of B12 deficiency are: Pernicious Anemia Autoimmune Diseases Leaky Gut Syndrome Ulcerative Colitis, Crohns and Celiac Disease Small Intestinal Bacterial Overgrowth (SIBO) H Pylori Infection Prolonged Usage of Gastric Reflux meds Vegan and Vegetarian diets MTHFR gene mutations Bariatric Surgeries Excessive Alcohol Consumption B12 and the Methylation Cycle: Methylation is a critical process that happens trillions of times in every cell each minute

Here are some times to consider changing the dose: If treatment isnt working well, increase the dose or how often its given If B12 levels are too high, lower the dose Change the dose if the patients health changes or new issues come up By sticking to these guidelines, doctors can make B12 treatment better for each patient

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