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SIBO Small Intestinal Bacterial Overgrowth, commonly known as SIBO can affect the absorption of B12 as the bacteria use up your Vitamin B12 and affect absorption

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Cost and coverage: Because the above symptoms are common and sometimes responsive to treatment even when the blood levels could be considered normal, some doctors began administering injections frequently to their patients

Serum Vitamin B12 Test : This test measures the total amount of B12 floating in your blood

Multiple observational studies have found that individuals with low B12 are significantly more likely to report depressive symptoms, and intervention studies show that correcting the deficiency improves mood outcomes sometimes substantially