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In addition to this many Doctors may be using the standard lab value reference range instead of the optimal reference range

This is when most people go, so you need to book in advance

Lnborg, J

Long term prescription of medications such as the following are likely to increase the cause of, or exacerbate the risk of B12 deficiency - the proton pump inhibitors (esomeprazole, lansoprazole, omeprazole, pantoprazole, rabeprazole), famotidine, ranitidine, metformin, glibenclamide, gliclazide, glimepiride, glipizide, sodium valproate, gabapentin, doxycycline, some oral contraceptives

[DOI] [PMC free article] [PubMed] [Google Scholar] Cole S