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normal why the gap matters: Many labs flag a ferritin of 15 or 20 ng/mL as normal. Functional medicine care team lead and a growing body of research disagree

People with gastrointestinal issues or pernicious anemia should take a one-milligram dose of B12 daily, in either injection or oral forms

The mechanism appears to be related to a shift in the balance of the intestinal bacteria that occurs in PPI use

Side effects from shots can also mean you need a different dose

Wijdicks E.F.M., Findlay, J

While the condition is the major cause of poor vitamin B 12 status in the elderly population, it is usually associated with atrophic gastritis, a chronic inflammation of the lining of the stomach that ultimately results in the loss of glands in the stomach (atrophy) and decreased stomach acid production (see Atrophic gastritis)