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Though there are no strict designated guidelines for vitamin B12 deficiency screening, consensus agrees that screening is encouraged with long-term metformin use and is not typically recommended for long-term PPI use, but can be considered in high-risk patients and if there are symptoms of B12 deficiency

Intake of higher doses doesnt appear to be associated with detrimental health problems.2 The VNDPG recommends the following B12 guidance2: All vegetarians, regardless of type, should periodically be screened for B12 deficiency, using either methylmalonic acid (MMA) or TCII (transcobalamin) assessment

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correct deficiency via food or supplementation

Unfortunately, many adults in Carver and surrounding Minnesota communities may be at risk for deficiency, especially those following vegetarian or vegan diets, older adults, or individuals with certain medical conditions that impact absorption

Always consult your local healthcare regulations or a healthcare professional for accurate information