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These next tests are not specific to diagnosing vitamin B12 deficiency but they do give you a general idea as to whether or not your body is able to utilize B12

Combined with a GLP-1 receptor agonist, it has a more significant effect on glucose and body weight effects such as: boosted weight loss, improvements in cardiometabolic measures and reduced appetite

This can be due to COMT, MTR or MTRR genetic mutations which help the body convert B12 into its active forms for use at the enzymatic and cellular level

Increases in calcitonin levels have been observed in some patients, though the clinical significance remains uncertain

Its becoming more popular because it lasts longer in the body