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Its therefore quite common for people with a blood test reading above the UK levels to still experience the symptoms of low B12

My appetite has decreased, not to the point of starvation, but rather, a half a sandwich and salad is filling

They are found in multivitamins, as part of B complex, or in standalone formulations

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This includes confirmed low serum vitamin B12 levels, pernicious anaemia, malabsorption states such as coeliac disease, inflammatory bowel disease, or post-gastric or bariatric surgery, unexplained anaemia, neuropathy or neurological symptoms consistent with vitamin B12 deficiency, a long-term vegan diet with symptoms or low levels, or failure of oral vitamin B12 supplementation