Some people also have difficulty absorbing vitamin B12 as a result of bariatric surgery, pernicious anemia, obesity, Imerslund-Grsbeck disease, Addisons disease, or an intrinsic factor deficiency (12)
A provider can help determine the most appropriate treatment.
Correlation of diet, microbiota and metabolite networks in inflammatory bowel disease
If you follow a plant-based diet, it is generally recommended to consult your healthcare provider, who can perform a blood test to confirm whether you have low blood levels of vitamin B12 and if supplementation or intramuscular B12 injections are necessary
10.1038/npp.2014.74 3 AlhadeffA
Prescriptions that are written off-label are significantly less likely to receive coverage from insurance plans, including plans offered by Blue Cross Blue Shield