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Crohns and Celiac disease) that impairs the distal ileum will also impair absorption of Vitamin B12

3 The UK National Institute for Health and Care Excellence (NICE) states that a cut-off of 200 ng/l identifies 97% of people with B12 deficiency, and a level below 100 ng/l is usually accompanied by metabolic or clinical evidence of B12 deficiency

Phlebotomy: Therapeutic blood removal used to lower body iron

Physicians should consider that vitamin B12 levels between 200 and 300 pg/mL (148 to 221 pmol/L) are considered borderline, suggesting a possible deficiency, and further testing with methylmalonic acid (MMA) and homocysteine may be necessary

It will guarantee that your issues are treated properly and will not lead to any issues