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What the Authoritative Sources Say About B12 Deficiency and Supplementation The National Institutes of Health Office of Dietary Supplements publishes the most thorough citation-backed overview of vitamin B12 its role in red blood cell formation and neurological function, the populations most at risk for deficiency (older adults, people on long-term metformin or proton pump inhibitors, vegetarians and vegans, people who have had gastric bypass surgery), and the recommended daily intake at each life stage

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To determine reference ranges, labs test the blood of a large representative population sample (chosen based on characteristics like age, sex, and general health status) and use statistical analysis to identify the middle 95 percent of values for the nutrient in question

B12 shots bring levels of this crucial nutrient back up, but they do not resolve the underlying root cause