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Last reviewed: May 30, 2026 Last updated: May 30, 2026 Written by: Jay Hastings, CEO of PlexusDx Jay Hastings is the CEO of PlexusDx, a precision health company focused on genetic testing, blood biomarker insights, and personalized wellness recommendations

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You can also take oral supplements or use IV therapy (our favorite option) to replenish your vitamin levels

[1] Other causes include autoimmune conditions, certain infections, and inflammatory states that alter B12 metabolism or binding protein production

If you notice symptoms such as a rash, itching, or trouble breathing, seek medical attention immediately