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This smaller size offers practical advantages including improved stability and potentially better tissue penetration

As health writer Jane Brody notes in her New York Times column, B12 deficiency is also a risk for vegans and vegetarians, people who take proton-pump inhibiting medications for reflux, people with some digestive diseases, and those whove had stomach surgery

However, MMA levels can be elevated in those with thyroid and kidney conditions, which limits the tests specificity (9, 10)

It is essential to recognize the symptoms of vitamin B12 deficiency and to seek medical attention if you suspect that you may be deficient in this nutrient