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Diagnosis of elevated vitamin B12 begins with serum B12 measurement, typically performed as part of routine blood tests or when investigating anaemia, neurological symptoms, or other clinical concerns
Also, people who have had surgery on their intestines, like weight loss surgery, or have diseases that affect the gut, like Crohns disease or celiac disease, are also at risk of not getting enough vitamin B12
Unlike some medications with circadian-dependent metabolism, B12 absorption mechanisms function consistently throughout the 24-hour cycle