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Compounded versions are prescribed under similar guidelines, though individual practitioners may vary

Dietary insufficiency (low animal foods or no fortified foods/supplements) Medication effects (for example, long-term metformin or acid-reducing medications) Absorption conditions (such as pernicious anemia, certain GI conditions, or past stomach/intestinal surgery) Ask your clinician what they think the root cause isbecause take B12 is not the full plan if absorption is impaired

Regular check-ins let you discuss blood test results and adjust your care plan if needed