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When should methylmalonic acid, homocysteine, or holotranscobalamin be ordered despite a high total B12

(Green R, et al., Nature Reviews Disease Primers, 2017 PubMed: 28660890 ) Because B12 is water-soluble, excess amounts that the body cannot use are excreted in urine rather than stored

In the event that your deficiency is dietary, you can receive your injection every 6 months

People with Digestive Disorders Conditions like celiac disease or Crohns disease can block vitamin B6 and B12 absorption

Your pituitary gland still controls the release, which means your body maintains its feedback mechanisms and reduces the risk of excess growth hormone levels