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Some studies [1317] have described the limitations of trying to diagnose vitamin B12 deficiency exclusively via the measurement of this concentration, and report blood methylmalonic acid (MMA) and homocysteine concentrations to be more sensitive markers capable of detecting subclinical deficiency

They may start you on a blood thinner right away

and accordingly nerve damage appeared in various brain areas, with most prominent damage in corpus callosum, laterodorsal thalamus, nucleus reunions, anterior horn motor neurons, regional heterogeneities which suggest differences in the underlying pathophysiology as it had been previously claimed (72)

GLP-1 agonists like semaglutide reduce caloric intake through appetite suppression while improving insulin sensitivity

If your vitamin deficiency is caused by malabsorption of B12 from food , your doctor might recommend B12 shots