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Tran may recommend laboratory testing to measure your vitamin B12 levels, along with related markers like methylmalonic acid and homocysteine

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It is contraindicated in certain conditions such as active malignancy and must be used cautiously in those with diabetes, prediabetes, or a history of pituitary disease, which is why careful screening and regular monitoring are essential

Preventing B12 Deficiency Prevention strategies focus on maintaining adequate intake and supporting absorption: Include B12-rich or fortified foods in your diet Monitor nutrient levels if you follow a restrictive diet Discuss long-term medication use with a healthcare provider Consider supplementation if you are in a high-risk group Routine check-ups can also help detect early signs of B12 deficiency before complications arise