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pylori infection or medications), cobalamin absorption from food may be impaired (because the lack of the normal acidic environment of the stomach impedes the release of cobalamin from dietary proteins), but unbound cobalamin (eg, in supplemental vitamin preparations) will still be absorbed normally

Insufficient B12 can lead to serious complications like neural tube defects

Labs managing multiple open vials simultaneously benefit from a simple log sheet or digital tracking system that records vial ID, puncture date, and discard date for each unit in use

This is a meaningful clinical distinction that any responsible provider must communicate