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A member asked:
January 2019- february 2021 my vitamin b12 dropped from 617 to 158. then from february 2021-march 2021 it dropped to 114. is this pattern more concerning than a typical deficiency? i take rx pepcid 2x daily for gerd. not sure if that plays a role?
A doctor has provided 1 answer
That amount of drop in B12 would be of concern that you are not absorbing B12 well from your diet, or that you need more in your daily diet. The Pepcid, being an acid blocker, could affect the absorption of B12 yes. Most people can overcome that by taking a larger dose, perhaps 1000 micrograms per day, of oral B12, & do not need injections
Answered 4/1/2021
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