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It may be possible to treat the underlying disease by surgical correction of anatomic lesions leading to small bowel bacterial overgrowth, expulsion of fish tapeworm, discontinuation of drugs leading to vitamin malabsorption (see Drug/Laboratory Test Interactions), use of a gluten free diet in nontropical sprue, or administration of antibiotics in tropical sprue

Liver Issues Those who suffer from liver disorders are often unable to store B12

Urochrome is always present in your urine, but its concentration depends on your hydration level

Bad Math: Miscalculating the dilution leads to incorrect dosing and invalid data