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In order to prevent a deficiency, we must ensure we are consuming an adequate amount of Vitamin B12, whether through the foods we eat, a dietary supplement, or an injection

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In response to the concerns noted above that reduce the sensitivity and specificity of serum B12 and confound the diagnosis of B12 defi­ciency, many investigators now recom­mend measuring one functional B12 biomarker (serum methyl­malonic acid or serum homo­cysteine) if serum B12 concen­trations appear inadequate to ensure a more accurate assessment of B12 status