does vitamin b12 injections cause constipation in deficiency is primarily neurogenic, due to autonomic and enteric neuropathy causing slow gut motility • Constipation may precede anemia • Often improves after B12 replacement • Think of B12 Can Vitamin B12 Cause Diarrhea
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For all B12 biomarkers, information should be collected on age, gender, ethnicity, pregnancy, folate status, and presence of possible bacterial overgrowth because all these factors impact B12 biomarkers
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