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2 B12 deficiency can be due to inadequate dietary intake, in particular in people following a strict vegan diet (B12 is only found in animal foods)

Collins considers hormonal balance , lifestyle , nutrition , and stress as interconnected factors influencing overall health, creating treatment plans that are personalized, balanced, and sustainable

You could contact your local CCG/Health Board and ask what guidelines on B12 treatment are currently being used in your area of UK

Importantly, serum B12 levels can be misleadingly normal or even elevated in chronic liver disease due to increased levels of binding proteins (such as haptocorrin) and reduced clearance, meaning that total B12 measurements may not accurately reflect tissue B12 status or functional deficiency