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High ferritin levels mean your blood contains more ferritin than typical

4,5 Dietary insufficiency, pernicious anemia (i.e., an autoimmune process that reduces available intrinsic factor and subsequent absorption of vitamin B 12 1,2,6,7 ), and long-term use of metformin or acid-suppressing medications have been implicated in B 12 deficiency

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Sleep-related impairment was assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form Sleep-Related Impairment 8a

This allows the vitamin to bypass the gastric system