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The main causes of a vitamin B12 deficiency are as follows: Malabsorption due to poor intestinal health (inflammation, bacteria, fungal infection, parasites, disturbed intestinal flora) due to a lack of transport molecules (intrinsic factor), genetic diseases (cobalamin disease) or medications that hinder uptake

If the total homocysteine is elevated, contact the laboratory pathologist to facilitate further investigations

Noticeable results often happen within 8 to 12 weeks when combined with changes in diet and being more active

Symptoms of B12 deficiency include persistent fatigue, weakness, brain fog, mood changes, numbness or tingling in hands and feet, and difficulty concentrating