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Heres what various outcomes might indicate: 1

Most patients starting with normal b12 levels and no significant risk factors do not require supplementation

This is completely normal and does not indicate damage, contamination, or reduced quality

Samples were washed three times for 5 min in 0.1 M cacodylate buffer and postfixed in 1% OsO 4 and 1% K 3 Fe(CN) 6

Two main causes often emerge then: Autoimmune gastric problems (such as anti-parietal cell antibodies and intrinsic factor antibodies) An infection with Helicobacter pylori Both can interfere with vitamin B12 and iron absorption and lead to long-term symptoms

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